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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�ci � Phone Contact for Permitting — <br /> Owner's Name ��� �/�� Owner Phone Number 7 �� 7 <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �a� LOT # � <br /> SUBDIVISION r�/�CK� �/�� PARCEL ID# C4 — �� � - OOO�' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK II7� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.0 <br /> �PLUMBING $ �� /�/ <br /> � s ;:� <br /> �ECHANICAL $ (]/ � VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 ��T� ������ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Q� License # � / Z-- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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/ Si�t Fence insta�led, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br />