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<br />
<br />813-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department p~
<br />
<br />Date Received
<br />
<br />Owner's Name
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<br />Owner"s Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fee Simple Titleholder Address I
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<br />131.fLff fer/dof A.ane) kphyrh ills} FL- 33'5'lfO
<br />I Erney-aU PO/nr I PARCELlD#I;1.4 -J.,h -~ 1-{)010-00000- ;<t.fqO
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D ADD/ALT D SIGN D MOVE D
<br />D REPAIR
<br />c==J COMM D OTHER
<br />c==J FRAME D STEEL D
<br />
<br />L...a.naJ 4- Add 5mbL- f(,ofJYYi
<br />
<br />SQ FOOTAGE I I q J. l/1 I HEIGHT I
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<br />Owner Phone Number
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<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
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<br />LOT #
<br />
<br />I~lfq
<br />
<br />JOB ADDRESS
<br />
<br />B
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />DESCRIPTION OF WORK I kX ~
<br />
<br />I / J/ X It; I I
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<br />I I I I , , , I , , I I I I I , I I , I I I I I I I I , I I I , , I I , , f I I I , I I I I I I I I I I ~ I I I I I I I I ~ I I I . ~ , , , . I II , I I I I . , I I I I t I . I I I I I I , , I I I I I I I I I , I I , I I I I I , , I I I I I I I , , I I I I I I , , . I I , . 11 , I I 1 , I
<br />
<br />1$ ~~. ()? I
<br />1$ I
<br />1$ I
<br />
<br />D MECHANICAL 1$ I
<br />
<br />D GAS D ROOFING c==J SPECIALTY D OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [jINO
<br />
<br />111111111111111,11111111JJl)111~/ 111111111 ~~ 111111111 AIIIIII ~ II ~O 111111111111111111111111111111111111111111I11111111111111111111111111111111
<br />
<br />BUilDER I I COMPANY I OWner I
<br />SIGNATURE REGISTERED I Y I N I FEE CURRENT Y I N
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />BUilDING SIZE
<br />
<br />~
<br />ctl
<br />~
<br />
<br />BUILDING
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PROGRESS ENERGY
<br />
<br />W.R.E.C.
<br />
<br />PLUMBING
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />'-
<br />
<br />_~._...~._u..._
<br />
<br /> License #
<br /> () fA} ner
<br /> I Y/N I FEE CURRENT
<br /> License #
<br /> o uJ ner
<br /> I Y I N I FEE CURRENT
<br /> License #
<br />COMPANY
<br />REGISTERED YI N FEE CURRENT
<br /> License #
<br />
<br />License #
<br />
<br />1I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111I111111
<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 onsile, Construction Plans, Stormwater Plans wI 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 wI 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 />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<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 />c==J
<br />
<br />~
<br />;V tJc!..-
<br />
<br />AI EEl)
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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<br />Di~~~ti~~~':' , . . . . , , , . , , , . , , , . . , . , . , , , . . . . , , . . . . , , . . . . , . , . . , . . , , . . . , , , , , . . , . , , . . , . , , , . , , , , . . , , '. . . . . , , . . . . . . . , , . , , , . . . . I , , , , . . . . , . , , I I , I , , , , . I , , , , , .
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<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
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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