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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recei�7ed � � <br /> Phone Contact for Permittin -- <br /> Owner's Name �Gtl' Ir�J _ Ctai'� 1� Owner Phone Number J'" " <br /> Owner's Address � �j p` Q1r Owner Phone Number <br /> Fee Simple Titleholder Name Ow�er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Y1� LOT # � <br /> SUBDIVISION PARCEL ID# 1� YJ ' � O �' O �O ���0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR ��pf" <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME O STEEL Q <br /> DESCRIPTION OF WORK � � � � � � � '�l � Q�S <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT <br /> �BUILDING $ ��Q C 0 VALUATION OF TOTAL CONSTRUCTION <br /> OJ <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> t, <br /> OTHER COMPANY OQ \l'1 �n <br /> SIGNATU REGISTERED Y/ N FEE CURRE� / N <br /> Address S Z S License #���f <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) worfcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitarv Facilities & 1 dumostar� SitP wr,rk PPr..,�r f�� �� �r,.��.,���.,.,�n��.,o nrnicnf� <br />