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BP#2088 <br /> 813-780-0020 City of Zephyrhills Permit Application 3337 Fax-.813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting CID1 S <br /> ' IILlva er <br /> Owner's Name olv s§ I Owner Phone Number <br /> Owner's Address H (0o � <br /> Fn <br /> S� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ZA"-1 U q i-Uvv'CS-f Cvfe'6- Llr). LOT# <br /> SUBDIVISION 141-60a) Y*6�1 PARCELID# M j -a[9 011 D -cooc)o�-���o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION QV <br /> BLOCK /0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> . .EB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 1 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> UIL 1 -1 <br /> DING 9 <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> 1P PLUMBING 1$ 31W <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN <br /> Address License# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L=N <br /> Address License# <br /> ............ <br /> PLUMBER COMPANY e-Vf�W 11 V CA+f0n <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y Aby <br /> Address License# I Utis -0(-1 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN LY 1 N <br /> Address i License# <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y <br /> L N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OW Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br />