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. s��-�so-0o2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �R�� Phone Contact for Pertnkting - <br /> i� - T-T <br /> Owner's Name e(' l�I � Owner Phone Number 3 5 7 —( 7� <br /> Owne►'s Addresa � / �� J�� ��'� Owner Phone Number <br /> Fee Simple Tideholder Name Owner Phone Number <br /> Fee Simple Tkleholder Address <br /> JOB ADDRESS ��� ��t9.a�-G�O (� �9 LOT# �� <br /> SUBDIVISION � +�lW U 1�C.Y C..'� PARCEL ID� � �� � � � �Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR�] ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL �Q REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CON3TRUC170N Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 'e �� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $ ' (� (�O ,` <br /> 0 VALUATION OF TOTAL CON R�J6iTON ( 7 � <br /> ` .. <br /> �ELECTRICAL $ —� AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> .� ���� <br /> QPLUMBtNG $ / ` � <br /> A I�C, ��,,,�,ji�i(C_ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /v <br /> �GAS � ROOFING � SPECIALTY Q OTHER f � T�� `�""�n�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� � � 3 3� ` ' <br /> 3-q�(�-53 3.� <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �— <br /> EIECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y!N , <br /> Addresa License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �— � <br /> � <br /> OTHER COMPANY / r(,� , /�7!�J <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address U !�.'T Z I � License# <br /> IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIttlllllllllll <br /> RESIDENTIAL Atta (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,Construdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit fo�subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br />