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<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />813-780-0020
<br />
<br />Date Received
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Name
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />I 5eo d'-l M 01i-e.. {~
<br />16()(')"beA- ~6-\;a...~-e~'~ ?.
<br />
<br />LOT #
<br />
<br />I ~7
<br />
<br />CZJ
<br />
<br />2e.~~iT'),\~\\~ \='L "305"1..1 d.
<br />
<br />I PARCELlD#1 \~-J.(o J~i-b'310-0000c - 0'070
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEW CONSTR D ADD/ALT D SIGN 0 MOVE D
<br />[XI INSTALL D REPAIR
<br />
<br />PROPOSED USE D SFR D COMM D OTHER
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0
<br />
<br />DESCRIPTION OF WORK I \ 0 )( ~ C, (..-~~<'l. ~ ~o09~keL) ~ fj'xi"fbc'-
<br />
<br />J 0 X 10:J I SQ FOOTAGE I I (gO I HEIGHT I \',;) I 4 I(
<br />TrITTlll1 , IIIIII . , I III , r , . 111 . . III 1 IIIIII , , I P . II11III 11111111 , I III , , , III , II , IIII , I IIII 11111111 . IIII , I . I III1I 1 I III 1 , II , I III 1 II II P II III , IIII11I I1II I
<br />
<br />1$ 2150 . rJ7) I
<br />D ELECTRICAL 1$ I
<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!IIIIIIIII111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111
<br />
<br />I \uU 5k&)~G .
<br />I Y / N I FEE CURRENT I Y / N I
<br />
<br />License # k8G 1;;150 G, L/~
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />
<br />~ \1e.e.9
<br />
<br />BUILDING SIZE
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<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 />k~~~
<br />.$z-o,c/l) _.k
<br />Slr~
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<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 />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />111111111111111
<br />RESIDENTIAL
<br />
<br />License #
<br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111
<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 w/ 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 onsile, Construction Plans, Stormwater Pians 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 />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Di~~~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. (A1C 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 roadwaysuneeds ROW
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