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s�s-�ao-oozo Cify of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�Received <br /> Phone Contact for Permittin _ <br /> Owner's Name �i/�/.L- =NCdh�e �cc� �/ Owner Phone Number <br /> Owner's Address /S.S P �er 1 m e�'e+� �en W A/�,qnt�p �q , 3�' Owner Phone Number f1�.3' �� �GS�� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � -� // Z r`ji/�J �. 3 3�'� LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL 0 OTHER <br /> DESCRIPTION OF WORK E /� � s C� /�i�e �/yf,qis�i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $� � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS Q ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN / ��� COMPANY /� 7�i r E�/fc �/iC <br /> SIGNATURE � �� REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �p/// �,/�T r �Q�/ l ,%s • 33s yo License # E� po�/t�8' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <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 8 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> coMMeRriei nrf�..►, �z� �e+� „s Q,.:�a:..., o�....... ., � --• -� �---- �-- - .. .. ... .. .. . . <br />