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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recetved fJ' _ � � -- � phone Contact for Permtttin � � -- / l� ! � <br /> Owner's Name T��MfI'��A.�.� �/Lyl -e /Qti(o �.;� /`� Owner Phone Number � / � ! �� � <br /> Owner's Address 7 � ! l�J �'� � ,C / �' . ' / ! ( J� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS J�H �- Z� j -� S7 � LOT # � <br /> SUBDIVISION PARCEL ID# / -2 � /- ��f ��- o l So �- o C T� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED w CONSTR ADD/ALT � SIGN Q [] DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � j � �, � , � � � v z • ,S �' .; <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ C p_ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> l <br /> QP�UMBING $ <br /> .�� �,� 7 � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 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 /> ELE TRICIAN COMPANY A I'J 7 ,� L. C-c..� �'(, ( T� S� �I, 1� � C' � 1 <br /> SIGNAT REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ,S / �•c./. �t1 � 7`f1�� �.; - ( �Q License # � � f� � .� l � Z� <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) working days after submittal date. Requfred onsite, ConstrucGon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) comptete 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 & 1 dumpster. Site WoMc Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Enaineered Plans. <br />