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s�3�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received —�5—i G r ��1„ --`l�� <br /> Phone Contact for Pertnittin �t �X o( <br /> 1 1-1 1 f 7 i—f f7 T� <br /> Owner's Name �(1 Owner Phone Number � — `.��� '(���3 <br /> Owner's Address 3��"1� �h nv�. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS !—{ � � 1 1�/� l.. � hb`�`S �) LOT# �� <br /> �J <br /> SUBDIVISION PARCEL ID# ��O�Qlt�l��w�.�l.���J -�j� <br /> (OBTAINED FROM PROPERTY TAX NOT10E) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER e <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENE Y � W.R.E.0 <br /> �PLUMBING $ � <br /> � ��� � <br /> �MECHANICAL $ �,.��,('a� VALUATION OF MECHANICAL INSTALLATION _ <br /> UU��l <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREfv Y/N <br /> �d�sg License# <br /> MECHANICAL COMPANY �Y�l���l�f� ���(�j p��'���S <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> ,�,d�ss 5y3a�� I,.�Cre��oiw 5�-.i� � �� ��I <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �d�sg License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 w/Silt Fence installed, <br /> Sanitarv Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br />