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, s�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �—�� ��� Phone Contact for Permitting ' <br /> Owner's Name �/I�"/S�/�'IG� �9/Jc/ f��t D{,�a-ul/ y Owner Phone Number <br /> Owner's Address / 7 3 r d .J'�' • er�+o-r� �/'� � � � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS �7� Gh qr��✓s7�• Z / fii ��r �I. LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME � STEEL Q OTHER <br /> •�ESCRIPTION O f <br /> > <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �� ELECTRICAL $ AMP SERVICE Q OGRESS ENERGY Q W.R.E.C. <br /> " �1� v-� D f� --------- - --- _ <br /> � PLUMBING $ � /?�q�r S�rvrce �h�i�v-�oe '9s ��i �0�e� C'ClY��� <br /> ------- — - - -- ---- — - - <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I <br /> ° . �rJ � <br /> � GAS � ROOFING Q SPECIALTY Q OTHER � f I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Q O <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN � COMPANY s� ['1K' �i�'i c <br /> SIGNATURE REGISTERED / N FEE CURRENT N <br /> Address ,3 4/// ��� r�� 2 r�i �Ir � 33.��/O License # G 4� �� <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 Buiiding Pla�s; (1) set of Energy Forms; R-O-W Permit for new construc6on, <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 subdivisions/large projects <br /> COMMERCIAL Attach (3) compiete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> ne�.,�.,,��.,, +o., 11n1 �.,.,�4i.,� .i�,�� affor cuhmilt�l iiatu Rani�irorl nnci4e Cnnstnir.tinn Plans_ Stormwater Plans w/ Sllt Fe11Ce Iflstelled. <br />