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<br />
<br />8113-780-0020
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />I 51cllf.r
<br />I
<br />
<br />PARCELlD#I/Z-Z ~ Z I 0000 037?Gt..1 jpOO
<br />(OBTAINED FROM PROPERTY TAX NOTI E)
<br />D SIGN D MOVE D DEMOLISH
<br />
<br />D
<br />D
<br />
<br />$J ct c/vv#
<br />
<br />BUILDING SIZE SQ FOOTAGE I HEIGHT
<br />1111111111111111111111111111111111"'11111"'11'11"'.'111111111111111111111"11"'11111111111'111"'111111111111111'11111111111111'1"11111111111
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />'J'fcA
<br />
<br />f}..;L ~
<br />
<br />LOT #
<br />
<br />B
<br />D
<br />D
<br />
<br />I
<br />~
<br />D
<br />D
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />D
<br />1)vcr J
<br />
<br />OTHER
<br />STEEL
<br />
<br />OTHER I
<br />
<br />
<br />1$ I
<br />1$ I
<br />1$ I
<br />1$ ~ re)' e-J I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11I11111I1111111111111111111111111I11111I111111111I1111I111II111II111II11111111II1111111111111111111111I1I111111111111111111I111111111111111111111
<br />
<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />~ MECHANICAL
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />D
<br />
<br />w.R.E.C,
<br />
<br />PROGRESS ENERGY
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Y I N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<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 />I
<br />
<br />~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />{!'(,NI (!
<br />Y I N 1
<br />
<br />;/L71/zr
<br />FEE CURREN
<br />
<br />License #
<br />
<br />yj A/I
<br />'I Y IN I
<br />I CAe l~nCjO J-
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<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 NC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
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