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s�s-�saoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Buflding Department <br /> r ' <br /> Date Received Q 3 -� � - � phone Contact for Permittin ��3 �a� -- ��'� <br /> Owner's Name �(/�,/�� • Owner Phone Number �j� L � L J � <br /> f � � <br /> Owner's Address 6 ' l°� Lt/O O b � (� Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C�J�l/C3� ��C3 U I�. Z - LOT# � <br /> SUBDIVISION �r - ' W:z v r) � PARCEL ID# 'L 6 - -O[ 1 �-�'O fl Ot� " a /li� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER Low �/bLr <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � .� 1 1�� � �A �� � L l� R � [ <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION� � 7� � v <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 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 /> ELECT AN COMPANY �7'�� SCCuYZ�t SC�V�C� <br /> SIGNA E REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 5�'1 i W w*��S �o. I nM� F� '���a I " License# �Fp O o l l 2'�� <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 /> Minlmum ten(10)working days after submittal date. Required 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 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Enaineered Plans. <br />