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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � � ��/ � 2 <br /> `.' <br /> Date ReCelved 2 �-l� phone Contact for Permitting 1 4� -- ��c � ��� 1 <br /> Owner's Name l ��('-� 0.�, .Q_. � Owner Phone Number �. - Sdt� -� 7) <br /> Owner's Address 3 cnC.l(,�.(f(.� Owner Phone Number ��' <br /> Fee Simple Titleholder Name �� Owner Phone Number r y �� <br /> i <br /> Fee Simple Titieholder Address —� � � <br /> . -�, � <br /> JOB ADDRESS � � 1...,C�jC�e.� LOT # <br /> SUBDIVISION T Q S`�tC PARCEL ID# �d-�° - pR�O� �-� Zl <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q� SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q OTHER �1 � <br /> DESCRIPTION OF WORK � �,,. +2�.J S C ( -�.-� � - ,�--� O � r � , �-�• S L� � = I � � 7 � <br /> BUILDING SIZE I' 20 SQ FOOTAGE (7 HEIGHT lO /H <br /> BUILDING $/�� VALUATION OF TOTAL CONSTRUCTION <br /> f7 <br /> � ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> Q PLUMBING $ �/� � <br /> � ( `/,�� �..� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r /Y, <br /> � vV , ` <br /> ( ) � V" <br /> Q GAS 0 ROOFING � SPECIALTY Q OTHER v � <br /> FINISHED FLOOR ELEVATIONS �� �� � <br /> FLOOD ZONE AREA QYES QN � � <br /> ; I,c� ..� � <br /> BUILDER 0 �, � COMPA Y M S-(n�C -�--►'i L ` <br /> SIGNATURE �— �� �� I ` U��T REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address 7 I�at l� � � License # C, <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 /> 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) Piot Plans; (2) sets of Building Pians; (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 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 /> Minimum tPn (101 wnrkinn riave affor ci ihmitt�l �intc Qo„� ���o.� .,.,��+o r.,.,�+�� �..��.,.. oi�..� e�......,.,.,�.,. oi.,..� ..,i c.0 �,...,.,. :..�...��,.a <br />