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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> i <br /> Date Received {��3 �a� _ •��7 <br /> - Phone Contact for Permittin <br /> Owner'sName :JVI-o�BS ��nKt OwnerPhoneNumber ��3 �5`� ��7 <br /> � COwner's Address 5��' � ST Owner Phone Number <br /> Fee Simple Titleholder Name �— —� Owner Phone Number C —� <br /> Fee Simple Titleholder Address <br /> JOBADDRESS r'JO�J� 2�ST�� �T LOT# � <br /> SUBDIVISION PARCEL ID# �� -2-C,�' Z1 - C�C i�? 'Z p i�A C7� � D 1 b O—� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR 8 ADD/ALT � SIGN Q I� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER ow 1/o L�rX}�� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q , <br /> DESCRIPTIONOFWORK �NS��t�� Low �o�twciE SECv�iry S;�SreM �r�f EX�ST�N�� '�cS'iiJCN�� —� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ��O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ 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# C <br /> ELECTRI N v '— COMPANY �7'A� S E C�YL tWJ J�V 1 C� � <br /> SIGNAT REGISTERED Y/ N FEE CU RE� Y/N <br /> Address 5''��� W �"�T��S �� I qra�P FL 33�c3`( License# �F�00 � � 2`� <br /> PLUMBER COMPANY _� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# C � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# C —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <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. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilit(es&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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(21 sets of Enaineered Plans. <br />