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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � Q ^� phone Contact for Permlttin -! C�' < <br /> Owner's Name �ls�/ ��-^�' V��.f✓K"G� �' ��" Owner Phone Number <br /> Owner's Address •�• IJ C1X 16 ,7' � Z��� yR • J / Owner Phone Number � � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS ,.J � S T � � � ( Z LOT # � <br /> SUBDIVISION � PARCEL ID# � � `��r G I - O I O - - ` OJ �-- '� �.�5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ew CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTtON OF WORK I�I/ �� l C l.v ,� � n � T <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION ��' <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'r ���� <br /> / <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR 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 /> 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 /> OTHE �'` COMPANY ( � G U l � - � ' <br /> SIGNA REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address - T 1 f!A � 3 63 �/ License # - � v � <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. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitfes & 1 dumpster; Site Work Permit for subdivlsionsAarge 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 (2) sets of Enaineered Plans. <br />