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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �1 awl I Phone Contact for Permitting 'R 51'� <br /> . . . . . . . <br /> Owners Name Owner Phone Number <br /> Owners Addressl Ll(9011) W WQ[!2n Owner Phone Number F <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> PARCEL ID aq Lo- IQ- QMQ)- a5'1-D <br /> SUBDIVISION # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF7 ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL LJ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION BP#2236 <br /> INV#3521 <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> flail . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LY/N <br /> Address License# <br /> ELECTRICIAN <br /> LEC COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY 611v <br /> SIGNATURE —7 REGISTERED Y/ N- FEE CURREN <br /> Address ITEDH ?)e'-M16)eM ha, I License# 1 L1'1'-6' -CQa3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN LYL/N <br /> Address License# <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 /> Rnnif:ary f—­kAhA,a-11— <br />