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<br />813-780-0020
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-78o-0021
<br />
<br />Date RE!Ceived
<br />
<br />Owner's Address
<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 />OWner's Name
<br />
<br />Fee Simple Titleholder Address
<br />
<br />LOT #
<br />
<br />JOB ADDRESS
<br />
<br />DESCRIPTION OF WORK
<br />
<br />/L -S ~L, 'T
<br />I I
<br />
<br />111"111'"11111'111"11'111111"1"11"111"1111111'111111'"'1"11'11"1'11'111'111111"11'11111111"111111"11'11".IIIIII'".11I,rllrllrl'III"II'III"III'
<br />
<br />
<br /> I PARCELlD#1
<br />NEW CONSTR B ADD/ALT D
<br />INSTALL REPAIR
<br />SFR 0 COMM D
<br />BLOCK 0 FRAME D
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D DEMOLISH
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />BUILDING SIZE
<br />
<br />
<br />(/,v" 'T
<br />
<br />SQ FOOTAGE
<br />
<br />HEIGHT
<br />
<br />o
<br />o
<br />o PLUMBING
<br />~MECHANICAL
<br />
<br />1$ I
<br />1$ I
<br />1$ I
<br />1$9 7 $I s ~ t'7 I
<br />
<br />o GAS D ROOFING 0 SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111I111111111I11111111111111111I1111I1111111I1111111111111111111111111111111111111111111111
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />
<br />
<br />License #
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />
<br />~,-~.
<br />
<br />License #
<br />
<br />Y/N
<br />kI1C~Y..7? y,p
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address License #
<br />
<br />111111111111111111111111111111111111I11111111111I11111111111111II1111111111111111I11111111111111111I111111111111I111111111111111111111111111111111
<br />
<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 on site. 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 />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. (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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