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s�aaao-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0027 <br /> Building Department <br /> Date Received L p <br /> Phone Contact for Permittin _ <br /> Owner's Name �'C1� Owner Phone Number <br /> Owner's Address �,7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q RAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FO E�� HEIGHT �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ `, �� �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 <br /> SIGNATURE REGISTERED F URRE N <br /> Address Li se # <br /> OTHER COMPANY <br /> SIGNATU REGISTERED Y/ N CURRE� <br /> Address " License # � -� <br /> RESIDENTIAL ach ) P ans, 2) sets of Bu ans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) wo�lcing days after submittal date. Required onsite, ConstrucGon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanftary FaciHties 8� 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit fo� 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 all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach !2) sets of Enaineered Plans. <br />