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<br />
<br />813-780-0020
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<br />Date.Receiveel
<br />
<br />/ Owner's Address
<br />
<br />Fee Simple Titleholder Name
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />I :t 40 r
<br />I
<br />
<br />JOB ADDRESS
<br />
<br />City of Zephyrhills PE'rmit Application
<br />Building Department
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<br />Fax-813-780-0021
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />~c"l
<br />
<br />~o~~{"O\( J
<br />I PARCEL ID#I
<br />E3
<br />J2j"
<br />D
<br />O~W\ \0 I-~
<br />91-,('
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />211 00~r~
<br />..J"T-25. a \ _OOOD ~O(::'5cO . 00..""'"
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />D
<br />D
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />BUILDING SIZE
<br />
<br />DEMOLISH
<br />
<br />NEW CONSTR
<br />INSTALL
<br />
<br />SFR
<br />BLOCK
<br />
<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />.0
<br />
<br />D OTHER
<br />D STEEL D
<br />
<br />p~~ LM"(..
<br />
<br />HEIGHT I
<br />
<br />SQ FOOTAGE
<br />
<br />
<br />OTHER I
<br />V~tU '.1.
<br />
<br />BUILDING
<br />
<br />111111"IIII'IIII,lllllrlll"III,111111111"IIIIIIIIII'11111111'11111.'111111111,111'111'111'1111"111'11111".."111..11"11'1111111111'1111'1111
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />
<br />I
<br />I
<br />
<br />
<br />
<br />Address License # . I I
<br />
<br />11I11111111111111111111111111111111111111I111I111111111111111111111II111111111111I1111I11111111111II111111111111I11111111111111111111111111111111I
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />""PROPERTY SURVEY required for all NEW construction.
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />
<br />c=J GAS c=J
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />D
<br />
<br />D
<br />c=J
<br />D
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />/ BUILDER
<br />SIGNATURE
<br /> Address
<br />/ ELECTRICIAN
<br />SIGNATURE
<br /> <:
<br /> Address
<br />/ PLUMBER
<br />SIGNATURE
<br /> Address
<br />/ MECHANICAL
<br /> SIGNATURE
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />ROOFING
<br />
<br />NCC
<br />
<br />D PROGRESS ENERGY D
<br />
<br />~ ([)~TIlJiJ A~17E7l F'~j)m
<br />tflm FLIE2>,t?);rtJ grr~
<br />I VALUATION OF MECHANICALlNSTALLATlON 7ERJIIITlI,J;?-. ~
<br />I~d. J~ '1?/ kJ:d~
<br />D SPECIALTY c=J OTHER G f2t2..e~ ~((f}I<J]
<br />I FLOOD ZONE AREA DYES DNO
<br />
<br />-B-1
<br />~l& t) 0 .001
<br />011-00 . 00 I
<br />~OO ~ 0 0
<br />
<br />AMP SERVICE
<br />
<br />W.R.E.C,
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />I c.. ~G :t~ I 'b8'3:S
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Di~~~ii~~~': ' , . . . , . , , . , . , , . , , , . , , , . . , . . , , . . . . , , . . . . . , . . , . , . . , , , . , , , , , . , , , , , , . . , . , , , . . , , , , , , . , . . , , , , , , . . . . , , , . , , , , , , , , , , , , , , , , . , , , , , , , , , , . , , . , , , . . . ,
<br />
<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 from owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades A1C Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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