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s�s-�so-oo2o City of Zephyrhills Permit Application �1 � t��jl� Fax-813-780-0021 <br /> Building Department <br /> Date Received �,.-2� Phone Contact for Permitting -- �� <br /> Owner's Name � Owner Phone Number �����'" !: � <br /> � �/ i <br /> Owner's Address '� d� .- Owner Phone Number <br /> Fse Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ! I LOT # �� <br /> SUBDIVISION � � PARCEL ID# L/ � — .C-I'� d — "" � � � <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE 0 DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM �] OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK / `� LS ' <br /> BUILDING SIZE �—� SQ FOOTAGE HEIGHT �� <br /> 0 BUILDING $� d I' ��1 VALUATION OF TOTAL CONSTRUCTION <br /> �7 LJ <br /> � ELECTRICAL $ a � AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> � PLUMBING $ �"' � � <br /> I� t�5� a C �,,�� <br /> N <br /> � MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION C} C�' <br /> J �`�.t� <br /> 0 GAS � ROOFING � SPECIALTY Q OTHER 3 _ zfz � 1' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES �O T' <br /> BUILDER � p � � \ `j COMPANY . � � <br /> SIGNATURE d '' �'Z l�"�-' � ` REGISTERED Y N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN OMPANY <br /> SIGNATURE � RE TERED Y/ N FEE CURRENT Y/ N <br /> Address License # ��/ d�} �� ��, <br /> , , ► <br /> PLUMBER r����� � COMPANY <br /> SIGNATURE �/`�l/Vl REGISTERED Y N FEE CURRENT N <br /> Address � • License # ��1� � '7�lfJL)�� <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 /> RESID�NTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construc8on, <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 Permlt for subdivisions/large projects <br /> Cl1MMFRCIAI Aftach !41 cmm�latw catc nf Ruilrilnn Plans nluc a I ifw SafPfv Pana• /11 sat nf Fnerav Fnrms_ R-O-W Permlt fo� new const�uctlon. <br />