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s�3-�so-oo2o City of Zephyrhills Permit Application ' L Fax-813-780-0021 <br /> Building Department �CT /�� � 3 <br /> // <br /> Date ReceivecC �� .- ` I Phone Contact for Permitting �1 � ��o -- �p 3 <br /> Owner's Name � � �I'1 � Owner Phone Number �j� � p� - ��d` , <br /> Owner's Address 7�v�0 0 �'-' h i �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ��� � <br /> JOB ADDRESS � � �1 � LOT # �� <br /> SUBDIVtSION PARCEL ID# � ��Y� p� � 630= OC�od - oa�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN [� MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL � OTHER <br /> DESCRIPTION OF WORK f'rV Y�L' ` u� O(-��f' �r1 /'f/Q �l��-P. � C� e�,se-/ - <br /> BUILDING SIZE SQ FOOTAGE I�y' HEIGHT <br /> Q BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL � AMP SERVICE � PROGRESS ENERGY 0 W.R.E.0 <br /> � PLUMBING � � <br /> � MECHANICAL $ �� �jU VALUATION OF MECHANICAL INSTALLATION <br /> . ' <br /> � GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS (� FLOOD ZONE AREA OYES QNO <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �— � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � —� <br /> MECHANIC L COMPANY T/ ��'�� ,� <br /> SIGNATUR REGISTERED N FEE CUR NT Y/ N <br /> Address U � �' 1 �� � � �2 License # �'► lr � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ 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 /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> nn�.,�..,��.,, +o., ��rn....,.i,,..,, a.,.....,u,._....�....:.._� a-'- ^--� °---' ---°'- ^-- .,_ _ .., ,.. . _. . <br />