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. <br /> � sasaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br />� Buildfng Department <br /> ,Date Received Phone Contactfor Permittin Z _ baz� <br /> °Ownet!�Name . � a�I� �wner.Fhcne�Numher ? <br /> Owner's Address V`7V'7 ���h' r. h� wner Phone Number <br /> Fee Simple Titleholder Name � �' Owner Phone Number i' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �"'�'� LOT# � <br /> SUBDIVISION PARCEL ID# �I� �C.�2''�' �O'"I �� — D . <br /> 'T08T1fINEQFROMPROPERTYTAX NOTICE) <br /> WORK PROPOSED � NEW CONSTRe ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> ,PR4POSE9llEE � SFR ,� COMA9 ;� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �D �l � rp� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUICQING � $ �� VALUATION OF TOTAL CONSTRUCTION� � � � <br /> QE6€ETRIEA6 � AMP S€RVlE€ Q PR06R�SS€N€R6Y Q W:R.�,E. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFING Q SPECIALTY � OTHER <br /> �INTSHED�FL66R�ECEVR�'�ONS -FL66DZONE AAEA QYES IJO <br /> BUILDER I �COMPANY 1 � <br /> SIGNATURE REGISTERED N FEECURRE� �N <br /> Address � 7� V License# <br />� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Pi.tlABBElZ CO�PAaVX <br /> SIGNATURE REGISTEPZED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y! N FEE CURRE� Y/N <br /> :Addcess ; 1lceose#; <br /> OTHER COMPANY r— <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� License# <br /> 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 I 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 i I 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivislons/large projects <br /> COMMERCIAL Attach(2)camplete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stortnwater Plans w/Sil[Fence installed, <br /> �ailitary.�cilitles:&:1_�umpster:�Site.�lnlarlr�ecri[i€4oralf.aev�cpzojects:'Alttinmmecoiafxeqirirernents rn�s4meetcompl(ance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•'PROPERN SURVEY required for all NEW construction. <br /> Dlrecflons:�' <br /> Fill out application compfetery. <br /> Owner 8 Contractor sign back of apptication,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (A!C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs'rfshingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) <br /> =Urivearays=Nb4 ove�Counter if on pf�blic toadways:.needs"RDW <br />