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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 />Owner's Name
<br />
<br />Owner's Address
<br />
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />.570D - I (J~
<br />
<br />JOB ADDRESS
<br />
<br />LOT #
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />
<br />ADD/ALl
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />PARCELlD#1 /1- c2lo-21- DOjl)-- /V9lJOUcAJ J
<br />. (OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN D MOVE D
<br />
<br />D OTHER I ," t:?- - -:!i D~
<br />D STEEL D OTHER .
<br />
<br />SUBDIVISION
<br />
<br />DEMOLISH
<br />
<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 />11111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111
<br />
<br />:~~~~~RE !~'-'-.~~ I ~~:;';.~~ Sff~FE~~~~1 V,"
<br />
<br />
<br />Address . License # I
<br />
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />WR.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />
<br />////...
<br />
<br />
<br />
<br />~1~~
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI 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 />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<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 />I1I11I111111I1111111111111111I111111111111111111111111I11111111111111111111111111111111111111I111111111111111IIII111I11111111111111111111111111111
<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 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 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 />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<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 Attomey (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 (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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