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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �jl 3 7��-- � SO$' <br /> Owner's Name �-d Wc�d �j C.� � Y� I�J S k Owner Phone Number �l �j - 3 S� = 3alo <br /> Owner's Address .�I y �l Y� 14✓ � Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J �F I � Th � V�- LOT # � <br /> SUBDIVISION -� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEw CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �G J2� I c�, e c �.e,v f • <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $��� a � VALUATION OF MECHANICAL INSTALLATION <br /> � 12 �-30 <br /> OGAS Q ROOFING Q SPECIALTY � OTNER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 ;n.7��lt Se�ev r G25 4� `�S� 1•��- <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �G � 6 X ��- e �. License # 1 f 5 / o <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) worfcing days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w! Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster; Site Work Permit for subdivisionsRarge projects <br /> COMMERCIAL Attach (3) complete sets of Buflding Plans plus a Life Safety Page; (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 Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Enaineered Plans. <br />