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. 8�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> DateReceived �� � ( 1 �\` � ��� __ �� <br /> Phone Contact for Permittin V �J <br /> Owner's Name �--� t(�� (�C ( ���1 <br /> Owner Phone Number �� -� - a �°�y <br /> Ovmer's Address �� �`�� �jv C�'�f �y� (,�}��(l Y p�er Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS " 1��`' 1 �� � S� �� �\``5 F� L� a LOT # � <br /> SUBDIVISION PARCEL ID# I �1 � � � " �' ' ��� `- U �� " � � v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT �� SIGN [� [� 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 '(� -�( L,L 1� `���.�� 1( � �L l,l.� L� 1� �-� C� m I� 1 <br /> BUILDING SIZE —� gq FOOTAGE � HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �UMBING $ /' <br /> ��-� <br /> � /��L��� � � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION G <br /> �' <br /> OGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FIOOR 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 /> PWMBER ����� la� t���I,�� COMPANY � l�\ VlJ\,l\�S Y�� Ir�� <br /> 31GNATURE 6 "�'��� U�' REGISTERED N FEE CURRE� / N <br /> Address � x �.).J � C.- � L �j�jS3� License # ��""�-- � �-I � 5 l.Q(,� p� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> 31GNATURE 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) 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 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 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 (21 sets of Enaineered Plans. <br />