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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DeparUnent <br /> Date Recefved ,� -- � � �� _ �,QC' <br /> Phone Contact for Permittin <br /> Owner's Name G� r�' !7 -��� C ?L. � �' 'l'' 'L Owner Phone Number ( � "� O�� ������ <br /> Owner's Address ��1""l S � ��% Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 S ` `� C\V �' �-S y 1 I� LOT # � <br /> SUBDIVISION , PARCEL ID# ", - ' `— �`�'`L' ` . �" "� ; � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SI�N Q � DEMOLISH <br /> INSTALL REPAIR e,�f— <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> ,�1 \ <br /> DESCRIPTION OF WORK --�✓1SlC� S QC,,;I�' � S �'"" �� �' ���; �,� <br /> BUILDING SIZE SQ FOOTAGE • � C� HEIGHT <br /> BUILDING $ I � ��` � VALUATION OF TOTAL CONSTRUCTION _._____ <br /> ��, <br /> r • <br /> �ELECTRICAL $ AMP SERVICE PROGRESS EN G W.R.E.C. �,� �,vtrG� <br /> w "�' <br /> OPLUMBING $ � 1 � �� y/ <br /> / �,a�- <br /> �MECHANICAL $ VALUATION OF MECHANIC INST TIO <br /> � �. <br /> - �-) <br /> OGAS � ROOFING Q SPECIALTY � OTHER � C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY ����, <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 /> 81GNATURE 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 /> OTHER COMPANY V�'1� 1►�1 �C.'f�� i �'7G ��—� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> �/_ C ( 'C <br /> Address S �G• t- J ►1 � (.� License # _ � ,S �� <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 PeRnit for subdivisions/larae �roiects <br />