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813-780-0020 City of Zephyrhills Permit Application- Fax-813-7e0-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name Q ZL Owner Phone Number 3 453'`lQ�f <br /> Owner's Address � t/ O S50 13 f V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address j� <br /> JOB ADDRESS 4-111 Blog SQ Ala LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER Cjn a to, <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 <br /> DESCRIPTION OF WORK 1Mc e-hq h e Ou r C;I rr)er Z•�T S eer ffP <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> _Iuk*-I€€ILXS= L.a[€W.JL€WW.W-XILW.e:-W-€€jeWW[A-tia[ILs€x;J.WW.W.W.ICRiEJLX0-ILXALI&..€ LL8T.€£X.A..€3[WL-£ILW.ILXI <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ r <br /> MECHANICAL $ G 3 VALUATION OF MECHANICAL INSTALLATION ` (� <br /> T=GAS �, ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER - COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN . COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL (UC/"' COMPANY <br /> SIGNATURE /� REGISTERED Y/N FEE CURREN <br /> Address 7 7 J� U S tS"4V Nu�f O/) 3Q(P67 License# `I�C 8 S&Z <br /> OTHER COMPANY = I <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# / <br /> 1114 1#2 a." lE.a.lI 1 x 11 a 1[12"I a:a Ilia"11E 1 1.1<I'"JI <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> .•••oon0M=W o::oaov......,:...a s,....0 ni�.ni...............:.... <br />