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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recetved � -�Z 3 -- � phone Contact for Permittin ��3 �5�� -- �C'� <br /> Owner's Name � � � n�IL�i .5�� � �r C Owner Phone Number <br /> Owner's Address ry �rJ J Iq� . Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address —� <br /> JOB ADDRESS (? S v�'' n��! f3 � � C� Y (I�J LOT# � <br /> SUBDIVISION � PARCEL ID# D�� �( ��� I u —D�'p`� -'� 'a � ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q �� DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER ow 'VbLr�-�� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q [ <br /> DESCRIPTION OF WORK I �I!J [Ey t t L��) �,�/ 1,/� L ?'� �� /� l� �n �R./��/ �T l�6 I3 .— <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � S � .�(✓� S� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ „,�— AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <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 /> L /� <br /> ELECTR � COMPANY �7'�� S c:C�Y2.t ��'�l�� <br /> SIGNAT REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 5`��� W ��T�nS 'R-b� I qMP FL 3���� ' License# �F���fl ( � 2,�j <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Address License# C � <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# 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 wl Silt Fence installed, <br /> Sanitary FaciNties&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai 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(2)sets of Enaineered Plans. <br />