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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />SUBDIVISION
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<br />
<br />Owner Phone Number 7;l
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<br />FA)( I
<br />Owner li2MMe Number '1:11
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />Owner's Name .
<br />
<br />Owner's Address
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<br />Fee Simple Titleholder Name
<br />
<br />F.e Simple Tltl.hold" Add".. lNJ A
<br />JOB ADDRESS I (/6~~'( -aid. ~~fh1iJ:'II"
<br />I ~I fir I
<br />
<br />D NEW CONSTR c=J ADD/ALT
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR 0 COMM
<br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME
<br />
<br />DESCRIPTION OF WORK, _ ~. G n~~
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<br />BUILDING SIZE ~ .~~ SQ ~OOTA~E tu:12
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<br />WORK PROPOSED
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<br />D
<br />D
<br />D
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<br />3':3 ~5""I..f'Z- LOT # I AI /.4-
<br />t
<br />2,.;6 -3.I-Cl!>tO- oz '00'-
<br />(OBT INED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D
<br />
<br />OTHER l1ifV'f. (1':"1\~~r-
<br />STEEL 0 OTHER I
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<br />DEMOLISH
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<br />PARCEL ID#
<br />
<br />
<br />HEIGHT I
<br />
<br />MECHANICAL
<br />
<br />
<br />I
<br />o
<br />I
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />[i3fJO
<br />
<br />BUILDING
<br />
<br />D
<br />D
<br />D
<br />
<br />D
<br />
<br />ELECTRICAL
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<br />PLUMBING
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<br />1$
<br />D
<br />
<br />N A
<br />NJA
<br />,
<br />ROOFING
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />Address
<br />
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />MECHANICAL I
<br />SIGNATURE
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<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I License #
<br />
<br />11111111111111111I111111111111111111111111111111II11111II1111111111111111111111111I111111I1111I1111111111111II1I1111111111111111111111111111111111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction,
<br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stonnwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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, Stonnwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance f
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Di~~~ti~~~': . . , , , . . , , , . . , , , . . , . , . . , , , . . , , , . . . . . , , , . I I , , . . . . , I . , . , , I . . . , , , . . . . . , , , . . , , , . . , , , , . . . I , , , . . . . . I I I , I . , , , . . , . . , I , , , . . . , . . . . . . . I , 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 NC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadwaysooneeds ROW
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