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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />. Building Department
<br />
<br />Fax-81;J-ItlU-UULI
<br />
<br />Owner's Name
<br />
<br />
<br />;2-1J0..6
<br />o /l/zI'fLE 2
<br />
<br />Owner phone Number r
<br />
<br />Owner phone Number
<br />
<br />Owner Phone Numb~r [
<br />
<br />3t5Y
<br />1
<br />I
<br />
<br />..
<br />Date Received
<br />
<br />WORK PROPOSED
<br />
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />o
<br />o
<br />o
<br />;ua-9-
<br />
<br />1
<br />
<br />09-~~-d\ - b'd\6- 06&06 - 06\DJ
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE 0
<br />
<br />OTHER r
<br />STEEL 0
<br />
<br />LOT#. I
<br />
<br />JOB ADDRESS
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />1
<br />G'
<br />o
<br />o
<br />
<br />DEMOLIsH
<br />
<br />SUBDIVISION
<br />
<br />I
<br />I'
<br />
<br />OTHER [
<br />
<br />HEIGHT
<br />
<br />BUILDING SIZE
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o
<br />o
<br />o
<br />~
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$ dc--S 56 ,aV
<br />o GAS 0
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />t=J
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />SPECIALTY 0
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />.J II ' . , . . , I . , . . , , . , , . , . . , . . , , . , , , . . .. . . , . . . , . , . , . . , . . , . , , , , . , , . . , . , . , , , " . . , · . , ., , , , ,. , . . , . , , ,. , , , , ., , " . ,. ,. I .,' , . ,. , I . , , . . , . . , , , . , , , , II , , , I , , I , . II
<br />
<br />
<br />BUILDER I I COMPANY I I
<br />SIGNATURE I' .,"',"",," Y I N FEE CURRENT Y I N
<br />
<br />Add"," _ Uoen,. # I
<br />
<br />ELECTRICIAN i COMPANY [ ]
<br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
<br />
<br />Add",,, I Uo""o # I
<br />
<br />:~.:'A~~E I ~~:::: Y I N FEE CURR'''' Y I N I
<br />
<br />Add..., I . Uo.",o # I
<br />
<br />:~~~~~:Ll;$~u~)?~ I ~~~::.: '''o~:::PlT:::'V'ff?-c
<br />Add",,, . U"""O # I c-/l C- J % / 3 Y;2-(/ I
<br />OTHER I COMPANY I
<br />SIGN:;~,:, i REGlS~" I Y I N uoen: :"""j' Y I N I
<br />
<br />1"'" I ' III' , II ' "III' 'II ' , , II ' " I ' " I' '1111'" III'" II'" I'" III'" III ,'" 'I" , I! "" II '" I ' I '" II"'" III ' II "" I ' II " III ' " I1I1111 ' I'" 11111' 1 ,
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />/1111111111111111111111111111111.1111.1..11,111111.1111'.II,II'IIIII,IIII.IIII,I,llllill.iiilllllilli,ll.ili1,lllilil,llillllilllilliiliiilillillii
<br />. Directions:
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
<br />
<br />.. Agent (for the contractor) orpower of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
<br />
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