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<br />Fee Simple Titleholder Name
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />81 :3-780-0020
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />?<fc.J. c)t.?.2o
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS
<br />
<br />.31tfS'o StJ?lti. he. 8-
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />2etkry),;/l. rl-i53SE/Z-- LOT #
<br />
<br />I PARCELlD#ll3 -..26 - ~ I -O()5~ - OOBoo -008'0
<br />(OBTAINED FROM PROPERTY TAX NOTICE}
<br />D ADD/All D SIGN D MOVE D
<br />D REPAIR
<br />D COMM D
<br />D FRAME D
<br />
<br />SUBDIVISION
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />B
<br />D
<br />D
<br />
<br />DEMOLISH
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />OTHER
<br />STEEL
<br />
<br />BUILDING SIZE
<br />
<br />
<br />HEIGHT
<br />
<br />DESCRIPTION OF WORK
<br />
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<br />
<br />D
<br />
<br />1$ I
<br />1$ I
<br />D PLUMBING 1$ I
<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 />11111II111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111I1111111111I11111111111111
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R,E.C,
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />~
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />Address
<br />
<br />I
<br />I
<br />~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Address
<br />
<br />
<br />z
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I her/e B('~Ir/;
<br />I Y / N I FEE CURRENT
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />,-1 33S'rlCJ
<br />
<br />License #
<br />
<br />IMN I
<br />~e - t7t?O 12t.J>
<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 />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I License #
<br />
<br />11111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111I1I111111111111111111111111
<br />
<br />RESIDENTIAL 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 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 />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / 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
<br />
<br />SIGN PERMIT
<br />
<br />Di~~~tj~~~': ' 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 . . . . . , . I I I , , . . . . . . I I I . , . . . . . . I I I , . , I 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 (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
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