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Oct.25.2013 08:11 PM HOLMES/WATSON 8138311098 PAGE. 10,/ 13 <br /> �1 c �oh,q/c� -� =��a 3 3 ao � <br /> s�s-�ao-oozo 7�'�j��� City of Zephyrhills Permit Application rax-oio-rau-uu�� <br /> Building Depa�tment <br /> Date Received �� Z �l3 Phone Contact for Permlttin ��� � -- 3 <br /> Owner's Name Owner Phone Number O�.�•��/�'��� <br /> Owner's Address �� �y ���" � Owner Pho�e Number <br /> Fee Simple Titleholder Name Owner Phone Number�— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `7 O'� 7 '� � LOT# C] <br /> SUBDIVISION ��- C J 'f PARCEL ID# / '� '�I'����'D�OdO, �7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q MOVE L] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � � S l S � � � 4 I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ p� � VALUATION OF TOTAL CONSTRUCTION <br /> 6 � <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ �/ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �l��7 3�, <br /> 0 GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER � COMPANY Tampa,FL 33619 <br /> SIGNATURE � �� � REGISTERED Y/ N FEE CURRENT Y I N <br /> Address T� At-Home Serv�ces, • License# GkCD��� <br /> ELECTRICIAN Tampa,FL 33 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESID�NTIAL 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 /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisionsllarge 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,Construction Plans,Stormwater Pians w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"""PROPERTY SURVEY required for all NEW construction. , <br />