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813-780-OQ20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department � U �'� 3 <br /> f'T� <br /> Date Received 2� Z�- `- r/ phone Contact for Permittin Oi� ��� __ �1,� <br /> Owner's Name �J4-�llG� �U/'`/LQ Owner Phone Number <br /> Owner's Address ��d 7�"��L v • Z �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �/0� �"-2�t-/�'� tI� f �''Q I� .�' . ' `���a" LOT# �Q ? <br /> SUBDIVISION v(!�-�3 ? PARCEL ID�! �� –' ��!_ vD O w— dQ3vO " QO�U <br /> � (OBTAINED F� PRO MOVE�� DEMOLISH <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK � . �Q�((� ��ii/' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ � <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> 0 PLUMBING $ <br /> ._ .... �K=;��vi� i S�R1�l�E <br /> 0 MECHANICAL $ VALUATIONOFMECHANICALINSTALLATION �'`'���� <br /> Q GAS � ROOFING Q SPECIALTY <br /> Q OTHER <br /> FINISHED FLOOR ELEVATIONS F�OOD ZONE AREA QYES QNO <br /> ,� <br /> BUILDER ����r �( � COMPANY �C[�l C � <br /> SIGNATURE �`���'�/� REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �,�y J�D/�J�' , � 3�Oz' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y! N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (7) 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 Attar.h /�1 cafc r,f t����ia;..., o�.,..... .,. __. _� �_ ___ � ____ <br />