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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-81 ::!-7I:lU-UU~1
<br />
<br />Qate Received
<br />
<br />
<br />
<br />Owner's Name J.( e l'\€, + h.
<br />
<br />Owner's Address 1550.;>...
<br />Fee Simple Titleholder NamJ
<br />
<br />g~
<br />
<br />s'
<br />
<br />Owner phone Number
<br />
<br />Owner phone Number I
<br />
<br />Owner phone Numb~r I
<br />
<br />Fee Simple Titleholder Address I
<br />550:2.
<br />
<br />JOB ADDRESS
<br />
<br />~T""
<br />
<br />51
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />B'
<br />D
<br />D
<br />
<br />Zeph.'j (' j..., " S LOTN
<br />
<br />. PARCEL ID#I \ \ - ';t(." - d- l - 06 \ (:) ~ H) \ 00 - 6i701
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
<br />
<br />SUBDIVISION
<br />
<br />DESCRIPTION OF WORK
<br />
<br />E3
<br />D
<br />D
<br />I U? G-ro.J('~ EI te,
<br />I SQFOOTAGE I
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
<br />
<br />DEMOLIsH
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />OTHER I
<br />
<br />I
<br />I
<br />I
<br />
<br />HEIGHT I
<br />
<br />BUILDING SIZE
<br />
<br />. I . . . . I I I I I I I I . I I . . I . I . I . I . . . . I . . . . I I . . . . . I . . I I I I , , . . , , ~ ' , , . '0' I , , , , I , , , , I , , , . , , I , , , , I , , . , , , , , , I , , I I , , . I I , . . , I . . , , . . . , . , , . , . . , , . I I I . I , , . , I I . . I , , . . I
<br />
<br />D BUILDING 1$ 1
<br />~ ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
<br />D GAS D ROOFING 0
<br />FINISHED FLOOR ELEVATIONS I 1
<br />
<br />VALUATION OF TOTAL CONSTRUCTiON
<br />
<br />AMP SERVICE;; 00 00
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />DNO
<br />
<br />, . . I . , . . , I . . , . , , . I I I I I . , . I I I . , . I I I I I . , , , , . I . pI' . . . , . 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 ~ .
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />Address
<br />
<br />License #
<br />
<br />Horne. .
<br />I YI N I
<br />
<br />OWl\ef
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />1<;4 P{;J~
<br />
<br />.
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />LIcense #
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />111111111111"11'11111"'111'.1111'111111111111111111111111111111111111111111111111111'11111111111111'111111IIIII'II"II'llllllllllllilllllllllllll
<br />RESIDENTIAL Attach (2) Plol Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpsler
<br />COMMERCIAL Attach (3) 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 />All commercial requirements must meet compliance.
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />.".PROPERTY SURVEY required for all NEW construction. . .
<br />.111111111111111111111111111111111111111111111111111111.IIIII,.llllllllllllllllillllllllliiiill,lillillllili1IIIIililllllllllillliliiiliiiiiliiliii
<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 (rom owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades Ale Driveways Fences (PloUSurvey/Footage)
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