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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Date Received
<br />
<br />
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />
<br />Fee Simple Titleholder Namel
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<br />Owner Phone Number
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<br />OWner Phone Number I
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<br />Owner Phone Number I
<br />
<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />LOT #
<br />
<br />PARCEL ID#I
<br />
<br />B
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />DESCRIPTION OF WORK h R '("It! 'l" ~'()S /, 11 s ~ Lv 1"-
<br />
<br />BUILDING SIZE SQ FOOTAGE I . HEIGHT I
<br />
<br />IIIIIIIIIIIIIIIIIIII'II"'.'II'.'I..!'IIIIIIIIIIII...."1"""11111"""'11"1111111"1111111111"1'11111111111111'11111111111111111111111111111
<br />
<br />1$ I
<br />1$ I
<br />1$ I
<br />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 />111111111I111111111111111111111111111111111I11111I1111I111II111111111I111111111111111111111I1111111111111I11I1111111111111111I11111111111111111111
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />SUBDIVISION
<br />
<br />I
<br />B
<br />D
<br />D
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />D BUILDING
<br />D ELECTRICAL
<br />EfJ PLUMBING
<br />"-
<br />D MECHANICAL
<br />
<br />D
<br />D
<br />D
<br />
<br />(08T AINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />[r' /V~
<br />
<br />OTHER I
<br />
<br />AMP SERVICE
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />W.REC,
<br />
<br />D
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I License #
<br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111
<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 wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvisions/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 />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />~./
<br />/
<br />,< C-----
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y I N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />0ftfJt ;:~~~t'~ YIN I
<br />
<br />
<br />License # I
<br />
<br />YI N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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<br />DI~~~ii~~~': . , . , , , , . . , , , . . , , . . , . . , , , . . . . , . . . . . , , , . . , , , . . , . . . . , , . . . , . , . . , , , . . . . , , , . . . , . . . . , . . . . '. ' . . . , , , . . . . . . . . , , . , , , . . , . . , , , . . . . . . . . , . . , , . , , , , , , , . ,
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<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 (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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