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813-780-002D City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department {� I� /_ v <br /> � �, ri <br /> Date Received a a� �// Phone Contact for Permittin - <br /> '� Owner's Name � �� � Owner Phone Number � ,� � � <br /> �� <br /> -- Owner's Address � �� - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address ,� � Z �° � � � � � � <br /> _.. JOB ADDRESS LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ""' WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> , S �. � �--� <br /> ° DESCRIPTION OF WORK ��' v G�{LY� P" � I�J� F '� '�� <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> �-' � BUILDING $ / c b C VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> � ELECTRICAL ($ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C, <br /> � � 0 PLUMBING $ �C� <br /> � v <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES QNO <br /> � BUILDER � /�� [/� � R OMP RNYD `� } , � N FEE uR�ter�T Y/ N <br /> SIGNATURE �—��"f � <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <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) Piot 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 8� 1 dumpster; Site Work Permit for subdivisionsJlarge projects <br /> ........�..,.... ...__� ,,,. —�- -° ^ -�J-- ^�--- ,.. —. -� �----�- �--__ � �, ,,,, .,___.. �__ __... ......_._....:.... <br />