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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ' Building Department <br /> Date Received <br /> Phone Contact for Permitting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��2.� Ga 1 � �I vd• LOT# � <br /> SUBDIVISION PARCEL ID� ��25'2 l—0 I 10— O�ODD—UU 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /�/(�( �CCfK Zt � $( (o�� � 6 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> �MECHANICAL $ 5 g 93 3� VALUATION OF MECHANICAL INSTALLATION <br /> . <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL COMPANY l/f U�S 1 n� P�,�� �"1 c�h LLC� <br /> SIGNATURE � REGISTERED Y( N FEE CURREf� Y/N <br /> Address �Q .55� / �"« �T.� � � � License# �g(�(�'� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pemtit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />