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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ' , Building Department <br /> Date Received -�a � Phone Contact for Permittin ��3 ��� __ 4��'7 <br /> a <br /> Owner's Name �R'�K � k ceiC �NL�-(Cr Owner Phone Number �� �� �7 7l0 7�' <br /> Owner's Address 3� �.�j �� �v�= Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number C —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�Z 33 � �� I��� LOT# C� <br /> SUBDIVISION —� PARCEL ID# �2� Z��2�- � J� �'� �n��U�l�y SQ � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM 0 OTHER ��v 'V�trT <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �1�1`��R'U. Lo�,.s �!c�'�i f�� $„p�Z.a-2 Az-�R� � C'LTV S�r 5� - <br /> � �i =�!0 t"y'���. <br /> BUILDING S12E SQ FOOTAGE C� HEIGHT <br /> Q BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ���C, O� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> b <br /> QPLUMBING � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � � <br /> o •'�" �J <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ��TR CIAN '�l� � �� v COMPANY r1��T S l:�C�Y��i ��V 1 C-� <br /> SIGNATURE (-.L ITl'� 6 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 5'-i'11 1.J i�1�+retzS I�o• I rtMfl F�- '���a� ° License# �FC.��� � l Z� <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# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding 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 FaciHties&1 dumpster;Site Work Permit for subdiv(sions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildtng 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&1 dumpster.Site Work Permit for all new proJects.All commercial requirements mus#meet compliance <br /> SIGN PERMIT Attach(2)sets of Enaineered Plans. <br />