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/4 - 8t-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2'-lr <br /> l <br /> Phone.Contact for Permitting <br /> Owner's Name e d p- -Pro- <br /> d (� Owner Phone Number L 3 - -1 SD <br /> Owner's Address tas, Cob i,4C S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t- I S S S • LOT# <br /> SUBDIVISION Sr wt --R PARCEL ID# dy- 2lo--2-1 - O(QD- QQ O D" SC <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> E <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 5+CL t k aL C O 5 Ub vi, I t3JIn de i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> EO-ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> �7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO I If <br /> \/ <br /> BUILDER COMPANY <br /> d 51�- <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I T1 Vuo e,(,C0-rVJ&+e-r 337(oS License# E- l�5l3oa�f <br /> ELECTRICIAN , COMPANY 2 a-r-e- <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/ <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> . Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License#, <br /> at-s1ttLI[1t.il1ttf Its 11fIftl.if91C1Q!a Itt watts Est atatl9If111I1tt1Est<n1[sII Est fix■.1-TV1l.11.1E9st <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 />