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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received Pho�s Contact for Psrtnittln <br /> Owner's Name r �(f �'bJ Owner Phone Number <br /> Owner's Addrsas Owner Phone Number <br /> Fes Stmpla Titleholder Name Owner Phone Number <br /> Fee Simple Tkleholder Addresa <br /> JOB ADDRESS � v �� �! � LOT k � <br /> SUBDMSION � PARCEL ION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NSTALL�� 8 REPAIR � SIGN Q Q DEMOLISH <br /> LJ <br /> PROPOSED USE Q SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �� U � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING S DOO VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� C� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FIOOD 20NE AREA QYES NO <br /> BUILDER � COMPANY Qr �'�e <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECisrenEO Y/ N FEE curu�n Y/ N <br /> Addreas License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Addreas Ucense A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �e cutrtEn Y/ N <br /> Addresa Llcense # <br /> OTHER �.�,�� � Ji ��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # <br /> RESIDENTIAL Altach (2) Pbt Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0-W Pertnit for new consfructlon, <br /> Minimum ten (10) working days after submittal date. Requlred onsHe, Constructlon Plans, Stortnwater Plans w! Silt Fence installed, <br /> Sanitary FadllGes 8 1 dumpsler; Site Work Pertnit for subdfWsions/large projects <br /> COMMERCIAL Atlach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0.W Pertnit for new construcHon. <br /> Minimum ten (10) working days after submitfal date. Required onsite, Constructlon Pians, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster Site Work Pertnit for all new projects. All commerGal requiremenLs must meet compliance <br /> SIGN PERMIT Attach f21 sets of Enaineered Plans. <br />