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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received a s �-- <br /> Phone Contact for Permittin _ <br /> Owner's Name 1��� f � �' <br /> Owner Phone Number <br /> Owner's Address �11(Q ( 7 � h �t Owner Phone Number � <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �( � 1 t � �'a" � � t �i�� ��( LOT # � <br /> SUBDIVISION PARCEL ID# � Z fp'' Z, —bot a_Z oz��v.— v� ya <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � r <br /> DESCRIPTION OF WORK 1'DO �k 2 O s w G� 7 ,,,,�,���-� . h�f <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> �� � � <br /> �ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,.-'� <br /> MECHANICAL �//�� �'/ <br /> 0 $ VALUATION OF MECHANICAL INSTALLATI � <br /> [�GAS � ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATION 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 <br /> 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 CURREP Y/ N <br /> Address License # �— <br /> OTHER COMPANY Zc /T r� C Q r. .� � <br /> SIGNATURE � <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 1� � � a v� � I'L h � License # CC c c� S� �g L � 7� <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) vwrlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlities & 1 dumpster; Site Wo►k 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 construcUon. <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 !2) sets of Enqineered Plans. <br />