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813-780-0020 City of Zephyrhills PermitApplication Fax-813-780-0021 <br /> Bukiing DepartmeM <br /> Date Received �(� 29 (3 Phone Contact for Pe;mitt`g , { �� ) �� --Q�� <br /> � � � � � r � � <br /> Owner's Name �t\"� �Q � LP Owner Phone Number <br /> 1� \ {� � �)luc �\\e --rtiy � <br /> Owner's Address �S� w .C+{�1,1(CCl Y)V�s�• 78 a Owner Phone Number <br /> Fee Simple Trtleholder Name �_ -� Owner Phone Number �- � <br /> Fee Simple Trtleholder Address <br /> JOB ADDRESS o Q J Z.� ( h� �I� 33v� LOT# C� <br /> SUBDIVISION � � PARCEL ID�1 3�'ZS�2l•���17- <br /> �OBTAINED FROM PROPER7Y TAX N0710E) <br /> WORK PROPOSED e NEw CoNSTR 8 ADD/ALT � SIGN Q � DEMOL ISH <br /> INSTALL REPAN� <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1 LSL `CCCA. �u #I �Il V� -/vQFV �fQ(lC.- �t1�t° <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> �BUILDING � VALUATION OFTOTAL CONSTRUCTION <br /> DELECTRICAL � AMP SERVICE � PROGRESS ENERGY Q W_R.E C <br /> �PLUMBWG $ <br /> �MECHANICAL $ '�l��.O� VALUATION OF MECHANICAL WSTALLATION <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FQVISHED FLOOR ELEVATIONS �� F�OOD ZONE AREA �YES NO <br /> BUILDER COMPAIVY � (\j <br /> SIGNATURE REG6TERED Y/ N F�CURRE� Y!N <br /> Address -l3� C�MCa(' Q IQ ,t�-3�� License# eAeo��2��y <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE � REG6TERED Y! N FEECURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATU2E REG6TERED Y/ N FEECURREP Y/N <br /> Address <br /> License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REG6TERED Y/ N FEECURREM1 Y/N <br /> Address -1 <br /> Licerue# <br /> �TM� COMPANY <br /> SIGNATURE REGISTERED YI N FEECURREP Y/N <br /> Address <br /> License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 { 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 I 1 1 1 1 1 1 <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)workmg days after submittal date Required onsite,Caistruction Plans,Stormwafer Plans w/Silt Fence installed, <br />