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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />
<br />, Date Received,
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Name
<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 />37J".2() 5/?rle ~~ 5~
<br />
<br />I
<br />
<br />
<br />D NEW CONSTR Cl ADD/ALTO
<br />D INSTALL D REPAIR
<br />
<br />PROPOSED USE 0 SFR D COMM 0 OTHER 1:';:#<,#11/ F)('/'!- 519-" -
<br />
<br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME D STEEL D OTHER I ffi..J wA-fc:-y 1;,.",):
<br />
<br />
<br />DESCRIPTION OF WORK 1.#.1 /t!'r h~-e /)1,;".;1114// -rA.l5-k.J ( E"x;-I ,LtfA 1- "het :Z:Vs-JJ9l/ M/1j/~S5 Wff..:-,,) =,,--I~t'
<br />
<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I
<br />111111111'1"1"'111111111111'11"""'111111111111111111111111'1111111111111111111111111111111111111111111111'1111111111111"111111111111111"111
<br />
<br />I
<br />1$7tJi~ I
<br />1$ 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 />11111I1II111II111II111II11II1I11111I1I11I1II111I11111I1111111111111I1111111II1111111111111II111111I1111111II1I1111111111II11111111111111111II1I111
<br />
<br />PARCEL 10#1
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />D
<br />
<br />BUILDING
<br />
<br />1$
<br />
<br />LOT #
<br />
<br />I~ -.;2. /p-;2./ -C)030-00;2.()V -dOlO
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE 0
<br />
<br />DEMOLISH
<br />
<br />m-
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />PLUMBING
<br />
<br />D
<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 />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />
<br />33</:;>tJ
<br />
<br />~.~~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />Y / N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Ih~;..J;~ E/r:'~h/c
<br />I~I N I FEE CURRENT
<br />
<br />License # I tEe.
<br />
<br />I Y /N I
<br />
<br />-tJo /,;2- tt?
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<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
<br />
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