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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Fee Simple Titleholder Address
<br />
<br />
<br />Date Received
<br />
<br />
<br />Owner's Name
<br />
<br />i);--/ "/~
<br />
<br />I
<br />I
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<br />LOT# I 2/5 I
<br />PARCEL ID#/1L..r25 . 2/ '0/7{) -()CYXx).. ~f5() I
<br />(OST AINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Numb~r I
<br />
<br />JOB ADDRESS
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<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
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<br />SQ FOOTAGE I 2-/0 ~
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<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />
<br />DEMOLISH
<br />
<br />IT OTHER I mcbJ le. (,.p~/
<br />D STEEL G--- OTHER .1
<br />
<br />I
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<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />DESCRIPTION OF WORK
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<br />BUILDING SIZE 13 1 X (pg I
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<br />111...................................,..................,1.,.",1,1.,.........,...."....,.1..,1.........1.,1111",.1,1111',.1""""'11,1"""
<br />
<br />D BUILDING 1$ J t;/)co/ 00
<br />
<br />D ELECTRICAL 1$ !C(}:).0cJ
<br />
<br />D PLUMBING 1$ l~(). 00
<br />
<br />D MECHANICAL 1$ )C>oo. 00
<br />
<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />HEIGHT I
<br />
<br />ROOFING
<br />
<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
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<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />lEJNo
<br />
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<br />
<br />Address
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />!~~
<br />
<br />Address
<br />
<br />
<br />~I~~~I~:L!~
<br />
<br />
<br />Address .
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />)
<br />:::-
<br />
<br />RESIDENTIAL
<br />
<br />I II' , f f 1 , , I' . II , f , I t r I I . I I I I . I , I , 1 , I' , , I' , I . I f I' . I" , , I ' , II , , , II , , II , 1 ~ I , , I I I II I , , II , , , I I' I , , II , I 1 , III I , I , r , r I , I I , I , . , I I I , III , , I I , I I I r I r I , , I I I IIII
<br />
<br />COMMERCIAL
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<br />Attach (2) Plot Plans; (2) 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 />Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />Attach (2) sets of Engineered Plans.
<br />.".PROPERTY SURVEY required for all NEW construction.
<br />
<br />SIGN PERMIT
<br />
<br />I , ~ . II J . II ~ I II , 1 I , 1II11III1 ~ I III . . II & . II ~ . I & . II, III & II. o. III1I 11111,. . II'. II. II j IIII , III' i it'. II, I. , I ~ I . III. III' , J I ~ I I . II ~ . II. , . III I I ~ , . I i 11111. I ~ ~
<br />Directions:
<br />Fill Qut 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 Attomey (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 NC Driveways Fences (PloUSurvey/Footage)
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