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813-780-0020 City of Z;ephyrhills"�PerrhitrApplication Fax-813-780-U021;.
<br /> BuildingQepartment-
<br /> E
<br /> Date Received Phone Contact for Permittin
<br /> Owner's,NamaR
<br /> �f Owner-Phone;Nurribe�
<br /> OwnerWAddress; :+G" •'OWrlgr,PhonesNumben,. ,
<br /> Fee SirrlRle Ttflehol+der.Nariie.;` Owner`Pkone urn or +:
<br /> Fee Simple TJtleliol der.
<br /> 14
<br /> LOT
<br /> JOB ADDRESS'-'
<br /> SUBDIVISION PARCEL ID#
<br /> ,(OBTgINED FROM,PROP..ERTY TAX,NOTICE)
<br /> _._:. _,. u• N DEMOLISH:-:;
<br /> tall
<br /> WORK PROPOSED`..,'- `. E �CONSTR ADD/ALT' ;, - .
<br /> - `SIG '�]` 0..
<br /> -;e INSTALL`.:.E,B~ '``REPAIR";,•:. - ..
<br /> PROPOSED'USE• s ,. iS SFRs ,s: •0=:.• COMM ;: QTHER
<br /> BLOCK' FRAME' ' STE)=L _
<br /> TYPE OF.CONSTRUC.TION. Q�[_ _ -r ( +
<br /> L ca
<br /> DESCRIPTION''OF WORK•.. f �yt.�`� ;r;,:r, e e-
<br /> F7-
<br /> BUILDING SIZE 90 FOOTAGE' HEIGHT'
<br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION
<br /> <! " ELECTRICAL. $ tr:-! :ra i ;AMPS�RVICE Q;,.-...:PROGRESS,ENERGY . J. -W.R.E.C.
<br /> =PLUMBING $-
<br /> =MECHANICAL $ VALUATION OF MECHANICAL'INSTALLATION'
<br /> =GAS; 1. ;, s;ROOFING,,;O SPECIALTY
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =:YES,• NO'=:
<br /> f - - - - -
<br /> BUILDER" 'h .COMPANY !L + ,d .w '�'� '• ~
<br /> SIGNATURE" REGISTERED!: - .. ;Y./:N,1 FEE-CURREN Y,/+N...m
<br /> Address •- + `: License
<br /> ELECTRICIAN; OMP Na:
<br /> C,• ANY
<br /> REG STERE
<br /> S -.--_ .a
<br /> Q. Y/'N'.''• "FEE CURREK'
<br /> IGNATURE
<br /> Addiess:. . „License:#.,
<br /> PLUMBER COMPANY -
<br /> SIGNATURE +. ? - •REGISTERED r .Y/N FEE CURREA Y/N
<br /> - : ..try .:. •*+`:,,.. -j � , ?>';.` - ,- Z> -,..,, j . -,' ,. . . .�,';�' ;:a
<br /> Address `License`#'
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED; Y/ N - FEE CURREt, Y/N
<br /> if
<br /> Address - License#
<br /> OTHER - COMPANY-
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt, Y/N
<br /> Address L•lbense .-
<br /> 1111111111111111111111111111111.1: 11. 11.11. 1111111111111,1111111111111111
<br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R=OWPennit for new-construction,
<br /> Minimum to .(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+subdivi§ions/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/Slit Fence Installed,
<br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance
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