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sisaso-oozo � City of Zephyrhills Permit Application f ' ,,� G rax-a�s-i+su-uuzi <br /> Building Department •-(" l 1 � � �' <br /> �,l' <br /> Date Received � � ~ — � Phone Contact for Permitting ��l � � L -- 2 �°� � <br /> Owner's Name < � Owner Phone Number � � d ' <br /> Owner's Address �� ��i Owner Phone Number <br /> Fee Simple Titleholder Name l 3��J Owner Phone Number <br /> Fee Simple Titleholder Address / � <br /> JOB ADDRESS � � �l.% � � � ^ `� ✓ � � � U J � ` � �' � � LOT # �� <br /> SUBDIVISION PARCEL ID# � �'� v"�� � � l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALONSTR B REPAIR � SIGN CJ MOVE [� DEMOLISH <br /> PROPOSED USE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL 0 OTHER <br /> , ( Z .e� c <br /> DESCRIPTION OF WORK � � <br /> BUILDING SIZE 2- ��Z SQ FOOTAGE HEIGHT / <br /> 0 BUILDING $ ry� Q�/--� aG VALUATION OF TOTAL CONSTRUCTION �� g �'" v u <br /> ! - I � <br /> � ELECTRICAL $ /;)' �� 6� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> .� <br /> � PLUMBING �$ �'�� � <br /> � <br /> 0 MECHAN�CAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ���t� <br /> 0 GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO <br /> BUILDER COMPANY , �. `-- <br /> SIGNATURE "� �� 1 REGISTERED N FEE CURRENT � Y/ N <br /> Address ��, �� ti..�. � ` �� License # ����-`d ��' �� <br /> ELECTRICIA COMPANY �1J�. ���' 't-[-c— <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/ N <br /> Addres� . � , � �. <br /> �� License # � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER CONJPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> RE5IDENTIAL 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 subdivisionsllarge 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 /> Minimum ten (101 woricina davs after submittal date. Reauired onsite. Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />