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813-780-0020 City of Zephyrhills rermit Hppncauur� <br /> Building Department <br /> Date Received , Phone Contact for Permitting -- <br /> Owner's Name s ti <br /> v v tr �v �� 3��" Owner Phone Number <br /> Owner's Address <br /> �U �� �=- �" AJe � 5 ' Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number � <br /> Fee Simple Titleholder Address �� <br /> JOB ADDRESS 3SS�V 3� 5!�� �'�o w�• �' ` LOT # <br /> —� PARCEL ID# Oa - �. b - �� - � "� ° <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) • <br /> WORK PROPOSED e NEW CONSTR �_J/ ADD/ALT C] SIGN Q MOVE [� DEMOLISH <br /> INSTALL �✓� REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �o. N`a ``�^-- �^`^�' G m �� � <br /> BUILDING SIZE SQ FOOTAGE HE�GHT <br /> � BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ �I AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> `�Oc�.v J � <br /> � PLUM8ING $ � <br /> � MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> � GAS 0 ROOFING �� SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN \I _ � ��_ COMPANY 1�.��e- �' w"" � �-� � <br /> SIGNATURE ��`��" REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �c7'F d 6�" �� c `1�- 33 3°� License# ��,�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 subdlvisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Ene�gy 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 /> - � - - -.. . . • -� ---� --• ----�:__°_ <br />