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<br />.813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Owner.s Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fax-813-780-0021
<br />
<br />ff6fo5
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<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS
<br />
<br />.5~
<br />
<br />LOT #
<br />
<br />PARCELlD#1 /.2.-2h-;;(('utlc.~() -03VOiJ '-cbr/O
<br />(08T AINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />B
<br />
<br />PROPOSED USE D
<br />
<br />TYPE OF CONSTRUCTION D
<br />
<br />
<br />DESCRIPTION OF WORK I o/~~ele ~ d "');1~ t"
<br />
<br />
<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT
<br />
<br />TTTllTI,' r P 1111" 1111111111111' 1111111111111' I' Pili" 1'1111' 111111' 1111" 111111111111' 1'1111'" 11111111111111111'111111111' 111111" II" '1111111111
<br />
<br />1$ I
<br />1$ VC90'~ 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 />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1I1111111111111111111111111111111111111111111111I111111111I111111111I11111111111111111111111
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />SUBDIVISION
<br />
<br />I
<br />
<br />~.
<br />D
<br />D
<br />3etU( ~
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />D
<br />
<br />BUILDING
<br />
<br />D
<br />D
<br />D
<br />
<br />DEMOLISH
<br />
<br />I
<br />D
<br />
<br />OTHER
<br />STEEL
<br />
<br />OTHER I
<br />
<br />~
<br />
<br />ELECTRICAL
<br />
<br />VALUATION OF TOTAL COIN:~
<br />
<br />AMP SERVICE PROGRESS ENERGY
<br />~
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />D
<br />
<br />PLUMBING
<br />
<br />D
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />1111111111111111111111111111111111111111111111111111111111111111111111111111111I1111I111111111111111111111111111111111111111111111
<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 onsite, Construction Plans, Stormwater Plans 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 />Di~~~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 A1C Fences (PloUSurvey/Footage)
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />111111111111111
<br />RESIDENTIAL
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Driveways-Not over Counter if on public roadways"needs ROW
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License # I
<br />
<br />1,;7V1'/ ~445 5/'r~cC
<br />I Y / N I FEE CURRENT Y / N I
<br />License # I t;:2" L -00;:7-<5;>0
<br />
<br />Y / N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
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