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<br />8'13-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br /><-
<br />
<br />Date Received
<br />
<br />
<br />Owner's Name
<br />I ? G ? c~
<br />Owner's Address J l) )...) I
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />5Ll
<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 />~OJ1'le...
<br />
<br />LOT #
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I PARCEL 10# I
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br />B ADD/ALT 0 SIGN D MOVE 0 DEMOLISH
<br />REPAIR
<br />D COMM 0 OTHER I
<br />D FRAME 0 STEEL D OTHER I
<br />
<br />SUBDIVISION
<br />
<br />E3
<br />
<br />PROPOSED USE 0
<br />TYPE OF CONSTRUCTION 0
<br />
<br />DESCRIPTION OF WORK 111 jl':.}o{C ri~t Ahrrt\ n(l'k~r' S ~rr"'-
<br />
<br />BUILDING SIZE SQ FOOTAGE I I HEIGHT I
<br />llllllll.IIII..IIIIIPIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII.11111111111111111111111111111111111111.11111111111'..111111111111111'1111111'111111""1111
<br />D BUILDING 1$. I VALUATION OF TOTAL CONSTRUCTION
<br />. ~5L::D I C5'D .
<br />
<br />D ELECTRICAL 1$ I
<br />
<br />D PLUMBING 1$ I
<br />
<br />1$ I
<br />
<br />D GAS D ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo
<br />
<br />1I1II111I11111I11111I11I1111111I111111111I111111111111111111111I1111111111I111II1111I11111111I11111111I111111111I111111III11I11I1I1II1I11111111111
<br />
<br />ckD
<br />
<br />
<br />Address ~
<br />
<br />AMP SERVICE
<br />
<br />D PROGRESS ENERGY D
<br />
<br />bc>b~ l-\{,~ J'k~
<br />
<br />WR.E.C,
<br />
<br />D
<br />
<br />MECHANICAL
<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 />License #
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />
<br />
<br />Address
<br />
<br />RESIDENTIAL
<br />
<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~~~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 Attomey (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 />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Driveways-Not over Counter if on ,public roadways..needs ROW
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