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r 3, 813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-002t <br /> Iti Building Department <br /> j-: <br /> i <br /> Date Received Phone Contact for Permittin �7 <br /> arat€Eaata aaa a <br /> owner's"Name Flordeliza Mahilum Owner PhoneNumtier 813-782=.0825 <br /> Owner's Address 27 Benson Street, Bloomfield, NJ 07003 Owner'Phone Number <br /> t: <br /> Fee-Simple Titleholder Name Owner.Phone Number <br /> e;. - <br /> 'i Fee Simple Titleholder Address <br /> JOB ADDRESS 4742 17,th Street, Zephyrhills, FL 33542 LOT# <br /> st1BDIVIslom �:': �. PARCEL ID# 14�26-21-0010-02700-0120 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> t` 'WORK PROPOSED NEW CONSTR" ADD/ALT �� SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> ;. PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME. STEEL Q <br /> .r DESCRIPTION OF WORK Addition to existing duplex,and,interior remodel <br /> BUILDING SIZE - SQ FOOTAGE 615 HEIGHT $1 <br /> f f> TCi Cf ETC'CIC Vt JLa <br /> � <br /> iL IL IL k <br /> BUILDING t <br /> ®. ��+� VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $" AMP'SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> l.p I,oDb <br /> PLUMBING $ itJ 00 D 17 G <br /> r <br /> `. =MECHANICAL $ j VALUATION OF MECHANICAL INSTALLATION j <br /> =GAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR,ELEVATIONS FLOOD ZONE AREA QYE$ NO <br /> 61 <br /> BUILDER 4� ---" `""----• COMPANY Ryman Construction,inC. <br /> SIGNATURE REGISTERED YIN- FEE CURREN Y/N <br /> Address �v�j 6�. rtG l^`1f ' S ��, '�5 License# CGC1517771 <br /> ELECTRICIAN COMPANY 'East Paso EleCtrlC, Inc <br /> SIGNATURE REGISTERED Y/'N ' FEE CURREN a Y N <br /> '/ <br /> Address License# �O <br /> / - <br /> PLUMBER / ( COMPANY JJ'S Plumbing <br /> SIGNATURE _ REGISTERED Y.Y N FEE CURREN Y/'N <br /> Address License# Q O 1 s <br /> MECHANICAL COMPANY I.Sionnys HVAC <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N_J FEE CURREN Y/N <br /> Address License# �- <br /> 1;1211i<"#3t€)iili ii .�1t#le�Y� et�� ll��i�Ir' t#t{ fail$ lisslist > ti��.ltii€3 1I3�iE.1fY8lt;tl< <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 />