<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />
<br />-/3-D]
<br />
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
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<br />Owner Phone Number I
<br />
<br />Owner's Name Cr rr 0'" 2 'fIYr It ( . $
<br />Owner's Address I ~ 3 $!: 8TH {' l'
<br />Fee Simple Titleholder Namel
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />11C :1-'
<br />I
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />
<br />B
<br />o
<br />o
<br />5 fG/II
<br />
<br />{"I ~j.,/J I< () I LOT # I
<br />PARCEL ID#I (3 -21{; - ~/ - {)08o- (){f)(j) - (JOI 0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN ~ MOVE D
<br />
<br />D
<br />D
<br />
<br />fcl( US e/l/
<br />
<br />SUBDIVISION
<br />
<br />BUILDING SIZE
<br />
<br />B
<br />D
<br />D
<br />I I /liS T/lLL
<br />I
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />
<br />sa FOOTAGE 1
<br />
<br />HEIGHT I
<br />
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<br />
<br />D
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />& ,J!t1
<br />
<br />UTi C\~~~
<br />
<br />VALUATION OF MECHANICAL INSTALLATION if It ~":"l
<br />1-:17
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Dl~~~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 NC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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