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813-780-0020 City of Zephyrhills Permit Application <br /> Fax-813-780-0021 <br /> Building Department . �+, l <br /> ,�� <br /> Date Received Phone Contact for Permitting '� "- � <br /> } r ' �Z Owner Phone Numbe ,�� l�� 5 �� 3 ' <br /> Owner's Name � a� ( � <br /> Owner's Address 3 (��� �/ "�����C�� Owner Phone Number <br /> Fee Simple Titlehoider Name <br /> awner Phone Number <br /> Fee Simple Titleholder Address <br /> J�B A� <br /> DRESS J l�D��J W(��DO �� � T t�1 \ ,��� LOT # �� <br /> SUBDIVISION PARCELID# 1�'��'���'v� ���v��v�'� v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION d BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK `� ` � � � <br /> BUILDING SIZE �,71..��p X� ` cR�l SQ FOOTAGE � HEIGHT <br /> � BUILDING $ � VALUATION OF TOTAL CONSTRUCTiON <br /> � ELECTRICAL $ <br /> AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO <br /> � �f?� � � COMPANY / �I w� �l <br /> BUILDER C_` �2EGISTERED Y/ N FEE CURRENT Y J N <br /> SIGNATURE <br /> License # <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> License # <br /> Address <br /> PLUMBER � t � � COMPANY <br /> � SIGNATURE <br /> �' � REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> License # � <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> License # <br /> Address <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 Pians w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> rn�u�uFar_iei attach (31 comolete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R_O-W Permit for new construction. <br /> ___ n .....a... ol.�..� �.,1 Cil+ Fonca installed. <br />