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<br />813-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />t-ax-tll j-( tlU-UUL'1
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<br />Date Received
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<br />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Nam
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
<br />
<br />LOT i#
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<br />I . PARCEL ID# I
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<br />r=J NEW CONSTR [=:J' ADD/ALT D
<br />D INSTALL CJ REPAIR
<br />PROPOSED USE D SFR 0 COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D' FRAME D
<br />. . . 1
<br />DESCRIPTIONOFWORK I tfi!E?~c~/t:-. ../~t!:. . S-Y5~. .
<br />
<br />BU'LDlNG SIZE I SO FOO:AGE I . . f HEIGHT I I
<br />
<br />. , . , . , , , . , . . , . , , . , , . , . , . . . . , . , . , . , . , , , . , , . . ; , . . . . . . , . , . ~ ' . . . . , . . . . . . , . . , . . . . . , . . . . . . . , . . . . . . . . . , . . . . . , . , . . . . . , , . . . , , . , . . , . , , , . , . . . , , . . . . . , , , . . , , , .
<br />
<br />1$ I
<br />1$ I
<br />1$ 1
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<br />D MECHANICAL 1$ ~ 8 "0.. c>t), 1
<br />
<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
<br />
<br />SUBDIVISION
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
<br />
<br />DEMOLIsH
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
<br />
<br />I
<br />I
<br />I
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />D
<br />D
<br />D
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<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 />SPECIALTY 0
<br />FLOOD ZONE AREA
<br />
<br />
<br />"~~--.......,~
<br />
<br />
<br />PLUMBING
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />-1i5q~?
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />11111111,.11111111111111111.111111111111,...,,111...11...111111..........,.,......111.'.......11.11......111111..11..11111...111111111111111111111
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />
<br />License # I I
<br />
<br />I.~~<~~~ ~~~ I
<br />
<br />License # I //B ;:2-.... I
<br />I
<br />I
<br />
<br />Y IN
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />ELECTRICIAN I.
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N I.
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />III , 1II1I III , II , , III t I ' , 1111111 , 111111111111111111111111 , 1111 I I I 111111 ~ 11111111111 I 11111 I I " 1111111 " 1111 I 11111111111111111 i 11111111111111111111 , I
<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 onsite, 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 onsite, 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 />1111111111111111111111111111111111111111111111.11111111....IIIIIlllllllllllllllillllllllliiilll.lillilllllli1IIIIilillllillllillliliiiliiililiiliii
<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) or Power of Attorney (for the owner) would be someone With notarized letter trom owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Driveways Fences (PloVSurvey/Footage)
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