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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � � / <br /> / � Phone Contact for Permittin ��3 ��� -- 7 C'� <br /> Owner's Name 1� j( —, � Owner Phone Number �'.J 7 7 L s <br /> Owner's Address yd'S �r L � e Owner Phone Number <br /> Fee Simple Titieholder Name �— Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �TH ' N � '�— ,�:5� LOT# � <br /> SUBDIVISION � PARCEL ID# —� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED EW CoNSTR ADD/ALT 0 SIGN Q [� DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER vw �lbt.'r <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �� � t �5 � = 'L 7 Y ( � <br /> BUILDING SIZE �--� SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �/-��„ �:. � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �� <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> C]GAS 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 /> ELECTRIC COMPANY �7"Q� SCCu12i ��VIC� <br /> SIGNATUR REG�STERED Y! N FEE CURRE� Y/N <br /> Address 5''��� W ��T�"nS '��• I qrnP F� ����� ' License# �F�OD ( � 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. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(21 sets of Enaineered Plans. <br />