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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 />Fee Simple Titleholder Name
<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 />Owner's Address
<br />
<br />AI J I s
<br />~iJ
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />: ';;111 A'4-rAA-~
<br />B
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />DESCRIPTION OF WORK I L/\/)'fA /1 h' /l. '(
<br />
<br />I SQ FOOTAGE I
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />B
<br />D
<br />D
<br />
<br />,e,:(, ~ LOT' I
<br />PARCElID#1 /3- 2f; - 2/-0000- C(J(rJO -00 2-0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN D MOVE D
<br />
<br />D
<br />D
<br />A-11-~ /V1
<br />I
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />DEMOLISH
<br />
<br />OTHER I FI/L"f! A tA-LM
<br />STEEL D OTHER I
<br />
<br />HEIGHT I
<br />
<br />lTTTTfI I II I I r . I I I , , I I I 1ft' I I 1 , . . I I r I II I I I t I I I I I I I , , . I , I . I . I , , II I I I II I I . , I II I , r I I , I , I 11 . III1 , II I . . I I II 1 II I I I . I I III I I I . I I , . 11 , I . II . IIIII1 I I I , II , , I II .
<br />
<br />BUILDING SIZE
<br />
<br />D
<br />
<br />1$ I
<br />
<br />D ELECTRICAL 1$ ~ tj5'C! C')o 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 />111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />I
<br />I
<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 />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />ELECTRICIAN 1..4/ Y0. ./J
<br />SIGNATURE . /.J--:::.- A:;~
<br />Address 13-77 /7" IIC"~-IJ.. ..,..-L
<br />PLUMBER I
<br />SIGNATURE
<br />I
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />
<br />;/h,,+
<br />
<br />License #
<br />
<br />I fEr &.10 /O7"~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<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 />1111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I111
<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 />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 />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />Di~~~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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