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<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 />~</ ~ 1 ~ f
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />3'J5YZ
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Address
<br />
<br />(J93 Z t- ((tit 4\d l-H dls j,517-
<br />
<br />I PARCEL ID#l/l - z..(p - 2/- ool{o ~ VOl 0(:) - 0011/
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEW CONSTR D ADD/ALT D SIGN D MOVE D
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR D COMM ~
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
<br />
<br />Q'1 If ':.# NW fJgw/ Inv~1!At 51i/<e-
<br />
<br />BUILDING SIZE I SQ FOOTAGE I _ HEIGHT
<br />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 I I I I I , I , I
<br />~ BUILDING
<br />
<br />JOB ADDRESS
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />DEMOLISH
<br />
<br />OTHER Ift'j.f('g T~I-ifJ II
<br />STEEL D OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />
<br />1$ r.J3(,,(JO I
<br />
<br />D ELECTRICAL 1$ I
<br />
<br />D PLUMBING 1$ I
<br />
<br />D MECHANICAL 1$ I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111I111111111111111111111111I1111I111111111111111I11111111111111111111111I1I1I1I11I11111111
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />
<br />Address
<br />
<br />~''-: ---
<br />lJ/er/-e~ ~,
<br />Y) N I FEE CURRENT I C I N
<br />
<br />1:. '5'1 cf License # I
<br />
<br />
<br />RESIDENTIAL
<br />
<br />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 wi Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 onsile, Construction Plans, Stormwater Plans wI 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 />i:ii~~~ti~~~': . . , . , . . . . , . . . . . , , . , , . . . . . , . , . . , , . . . . . . , . , . . , . . . . , , , . . , , , . . . . . , , , . . . . , , , , . . , , , . . . , . , . , . . , . , . , , . . . . . . . . , . , , , , , . , . . , . . , , , , , . , . . , . . , . . . , , , .
<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 AlC Fences (PloUSurvey/Footage)
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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