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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name I I I I~\~'--\~~,\\ M>~~'-\ I LOT# ~k~1 PARCEL ID#I~\-0~ ~\-D\$) ~ ~~\1,-\ (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D Date Received Own.', Add".. 1\ ~~ '\ NVQ\I~::;'(:"~ ${ Fee Simple Titleholder Nam Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS SUBDIVISION WORK PROPOSED DEMOLISH DNO ~:'o:~::;~ ~\:I~~~'tG'JV::'\''+:\ I ~ c::;:)"-o License # f'\. ~~ \I~ ;~~~:R~~ I~~ ~~~\~Y/N I License # I \~, I I I I I I I COMPANY REGISTERED Addr~s ~J?rk:'-- SIGNATURE Address PLUMBER SIGNATURE YI N FEE CURRENT Y/N Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I License # COMPANY REGISTERED YI N FEE CURRENT Y/N License # COMPANY REGISTERED YI N FEE CURRENT Y/N License # 11111111"11"11111111111111'1'1111111111111111111"1111111"11'11111111111"11111111'1111111111'111111111111111111111'11111111111'1'1111111"1"1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms, Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance, SIGN PERMIT Attach (2) sets of Engineered Plans, -"-PROPERTY SURVEY required for all NEW construction, I I I I I I I I I I I I I I I I I I I I I ~ I J I I I I I I I , ~ I , I I I I I , I , I I I I I . I , I I I I I I I I I I I I I I I I I I I I I I I . ~ . I , I I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Driveways Fences (Plot/Survey/Footage)