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813-780-002 City of Zephyrhills Permit Application .�� Fax-813-780-0021 <br /> Building Department <br /> � 1�,� <br /> Date Recg9ved <br /> Phone Contact for Permittin _ <br /> Owner's Name ��.� �--� �� Owner Phone Number v�'� /"' ��O �" / � <br /> Owne�'s Address (y l� ,L 1 V� t y`" Om�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � � 1 h y� f "'" � �fl�! LOT # �� <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �E� �! y— d}�I-2- ��PJ�- S�La 1i,,.p�-- <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �_� <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY <br /> �(�a,DD � Q W.R.E.C. <br /> OPLUMBING $ 1(I/� p �e� � / (� (J l,� �� '� <br /> (JI 1'C ( CJ <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � 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 !� 1 1 L S� Gl�, �, <br /> SIGNATURE �� �� REGISTERED Y/ N FEE CUR E� Y/ N <br /> Address License # —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address L(cense # <br /> MECHANICAL COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURREP Y/ N <br /> Address License # �— � <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 PeRnit for new construction, <br /> Minimum ten (10) working days after submfttal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FadliUes 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <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 Enqineered Plans. <br />