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813-7-,�-OOZ�? City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • - Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> `i�Owner's Name f�� .� 9" �G� � � C�, I C, Owner Phone Number 1 �]� ,- y� ] <br /> �Owner's Address � �. �/�� Y'e e Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> xJOB ADDRESS t"�° LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY T�ricEl DEMOLISH / <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL B REPAIR <br /> PROPOSED USE [� SFR Q COMM �] OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> � DESCRIPTION OF WORK —' K '���P� � /);f �„r c, ���,��- j ,n`�' G��(.�C �P''e C� I� <br /> BUILDING SIZE � � Sq FOOTAGE�� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ � <br /> �( �3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS 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 /> a/ELECTRICIAN � �(,J�(/ - <br /> COMPANY L�D� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# �— � <br /> n/PLUMBER COMPANY d C-cJ I�IC^� <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 Llcense# <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,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&1 dumpste�.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Enqineered Plans. <br />