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s�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . � Building Department <br /> Date Received � � �� phone Contact for Permittin ��� ��a _ q�ao <br /> Owner's Name �_C�l, 'S � �j�1�;�, Owner Phone Number �1� �U�- �i_.3._� 1 <br /> Owner's Address ���J � �� �� �r� 3�`�� Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �I�� ��� ��, �-��`1S � �-L ��_�-t� LOT# �� <br /> SUBDIVISION �— —� PARCEL ID# " "�_p� �� '���- `����� -�� <br /> (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> WORK PROP03ED B NEW CONSTR B ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK l.�'�} �,Q„i„J j���'C `��� <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $� �� � <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 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 /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> PLUMBER ��]i,�(1��,.� �,11•5�.;�w�/ COMPANY ��1�1\S W�``��CV 1`�; ��C.._ <br /> 31GNATURE REGISTERED Y/ iN FEE CURRE� N <br /> Address �� ��1{�.r'�� � hl�`5 Ft. 3��`�, License# C'� �"7���Q�d <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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 Pertnit for new construction, <br /> Minimum ten(10)wo�lcing days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W FeRnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wJ 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(21 sets of Enaineered Plans. <br />