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, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department <br /> Date Received �� J� � hone Contact for Permittin __ <br /> ♦ � <br /> Owner's Name Owner Phone Number <br /> Owner's Address S��' "� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 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 ST L Q <br /> DESCRIPTION OF WORK �_ � <br /> BUILDING SIZE SQ FOO C� HEIGHT <br /> QBUILDING $ �7 VALUATION OF TOTAL CONSTRUCTION <br /> C <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI � '��V � <br /> J!' / / <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER � �-'" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YE NO ' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I 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 Y/ N FEE CURRE� Y/ N <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURR � Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Piot 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 submittal date. Requfred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciNtles 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 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 (21 sets of Enaineered Plans. <br />