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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 />Owner's Name
<br />
<br />o - ?;. .v (
<br />tR.. PAt-,) K. H V,( s T
<br />Owner's Address I '1 A L t{ 5"" I ,--4-'" A v.e.
<br />Fee Simple Titleholder Namel <fa.e fAN "I-{ v~5 r
<br />
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
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<br />z.ep~l.(r"'. {{5( (L
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<br />l~fk1(tIlJ, Fe
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<br />PARCELlD#1 (\-1..<0- 2. \ - 001 0 - 0 J? 00- DOC; 0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />335" l.("l.
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<br />'] 1 r \oj 2.
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<br />Fee Simple Titleholder Address I 3 g 1-.l{) f 1- 1- ~ A v<...
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<br />I
<br />
<br />LOT #
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<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />BUILDING SIZE
<br />
<br />~
<br />D
<br />D
<br />Lr ~f (O\ c~ ~~
<br />I
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
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<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
<br />STEEL D
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<br />SQ FOOTAGE I 12.. l.{ 0
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<br />~r2..e..
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<br />rDI 5 I 7-c.
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<br />HEIGHT I
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<br />OTHER I
<br />f\ 01"1 - I M ~ tt C t
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<br />
<br />DESCRIPTION OF WORK
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<br />TlIIIIIII' 111'111'111"1' I'.' 1'111111 II' I' 1111' III' r 1'111'11111'11' III' 1'1111'11'1' I' ,111111'f II ~ .1111 II 111111111111" I' III' I' 111111111111111111 "
<br />
<br />D
<br />
<br />1$
<br />
<br />D ELECTRICAL 1$
<br />
<br />D PLUMBING 1$
<br />
<br />D MECHANICAL 1$
<br />
<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />ROOFING
<br />
<br />I
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />W.R.E.C.
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<br />S"1r c
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />BUILDING
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />DNO
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Address ~'a/O N. H, I'v\
<br />
<br />
<br />rA/V1(). f-L i1 H
<br />I COMPANY I
<br />REGISTERED
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<br />(oNST~V(''Tlo1J. LL C
<br />FEE CURRENT Y I N
<br />
<br />License # I c. "C I r /1 '1 > 7
<br />
<br />
<br />ELECTRICIAN f'-1 \ A
<br />SIGNATURE
<br />
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />jJ\P-
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />tJ LA
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />tJ)A
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address License #
<br />1111I111111111111111111I1111111111111I1111111111111111111111111111111II11111111111111111I111111111I1II1111111111I11111111I111I11111111111111111111
<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 subdivisionsllarge projects
<br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />
<br />jji~~~ti~~~': . . , , , . . . , . . . . . . , , . . . . . . , . . . , , . . . , , , . . , . . . . , . . , , . , . . . . . , . . , , . , . , . , . . . . , , , . , . , , , . , , . , . . . . . , . , , , , , , . , , , . . , , , , . . . . . . , . . , , . . . , , . , . , . . . . . . . . I
<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 (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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