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s�3-7ao-oo20 � City af Zephyrhills t'ermit Hppncauun -- <br /> Building Department <br /> Date Received Phone Contact for Permitting " <br /> Owner's Name a.a.� �+�4� `� �l3 �2- Owner Phone Number <br /> Owner's Address �� � � �� �e • �• Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 3435 ��3 JV�c)w<< ol� J V��� LOT # <br /> SUBDIVISION �— PARCEL ID# O�- - Z.� ' O S!� - - '� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDlALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTIOiV � BLOCK 0 FRAME Q STEEL 0 OTHER �---� <br /> DESCRIPTION OF WORK ���c . O�n J <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> � 5dc7� �� � <br /> 0 PLUMeiNG $ �� � <br /> I <br /> � <br /> OF MECHANICAL INSTALLATION � <br /> 0 MECHANICAL $ VALUATION �� <br /> C�' � �c� <br /> ���''''� eo <br /> � GAS � ROOFING � SPECIALTY Q OTHER ��� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO /� ��f /d,I'�- <br /> r �-����, � r <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN (��_�� COMPANY `e �'e �_ 1 `�a�` �`` � -J-�'� ' <br /> SIGNATURE - ��V --- REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � Z License # �C i I' 3 � <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 & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) sei 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 />