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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , � Building Department <br /> , • . <br /> Date Received — "' l�. Phone Contact for Permitting ��3 SSa�a __ �1 t�~] <br /> Owner's Name �� . � � / Owner Phone Number �`� '��� "' ,G� <br /> Owner's Address ' 3 L �,C/q � �j j 1 Owner Phone Number � � <br /> Fee Simple Titiehoider Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ,� [ �r(.. � � � � /''(,� � (, LOT# C� <br /> SUBDIVISION ��G/�,ti� P��� PARCEL ID#(� � '� "`��--��.3 � �°Q��„ �(� - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U3E � SFR � COMM � HER vtrJ 4/Dt�7- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �,S� C(, �,�r,� ��G� � _ � L� �� S Y�1 T�n <br /> BUILDING SIZE SQ FOOTAGEC� HEtGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ ,✓ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �� 30�,� <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 /> ��� <br /> ELE TRICIAN 6 COMPANY �t A� S c:Gu YL�t �(;'�'��C� <br /> SIGN `� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 5�l'I) �,cJ i�s+TC-'r�S '�p, I qr.nP FL 3�ivc3� ° License# �FUO O ( � Z'�—� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N pEE CURRE� Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# �— <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets af Building Pians;(1)set of Energy Forms;R-O-W Permit for new construckion, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Enalneered Plans. <br />