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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received / �_ 3—�� <br /> Phone Contact for Permittin _ <br /> Owner's Name �C �-2.c�iv(„ Owner Phone Number <br /> Owner's Address �l / (p � W F�Y�yL. � � �j� �p�er Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS W f a �. 1 V� ✓� e l' ,�' LOT # �� <br /> SUBDIVISION ��l S i rn I�P PARCEL ID# D�' 3��0 -ac� �� <br /> (OBTAINED FR�OM pROPERTY T ncE) DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��J�R-�.� ��-2 ' �I- �Y� II2uSi C( �pL�ytG— <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ���� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ — <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN ` ( COMPANY , � `�T �•C. S <br /> SIGNATURE �` ` � REGISTERED Y/ N FEE CURRE , Y/ N <br /> Address License # �� dp 3�/ <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 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) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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 (1U) 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 />