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� «813-780-0020 City of Zephyrhills Permit Appl'cation Fax-813-780-0021 <br /> Building Department ��� �^ � — � � � <br /> o { <br /> Date Received '' �� Phone Contact for Permittin — <br /> Owner's Name Q�`� �� � Owner Phone Number ��' l� b��� <br /> Owner's Address Owner Phone Number [ �-" 5'7"S ���" <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��j � I� n LOT # �� <br /> SUBDIVISION PARCEL ID# 4����0 p� f'(/�� D' � �""' U� d� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � �j <br /> BUILDING SIZE Q FOOTAGE �� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION ���� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRE S EN GY W.R.E.C. <br /> OPLUMBING $ „//� �, -- � <br /> �j MECHANICAL $ �r+� VALUATION OF MECHANICAL INSTALLATION �' / � � �� <br /> T� 5 ��i . <br /> ^ QGAS Q 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 l�1 N �S �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� / N <br /> Address � 3 l" � ��(.� License# Gt (�—� <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) worlcing days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Wor1c Permit for subdivisions/larae oroiects <br />