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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 />Date Received
<br />
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />- Owner's Name
<br />
<br />J4 t/ -en t.t ,.
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />,u cr-l /,
<br />
<br />f)U,-;1U ~
<br />I PARCELlD#1
<br />
<br />B
<br />o
<br />o
<br />
<br />LOT #
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<br />SUBDIVISION
<br />
<br />13 ~~;;"'I
<br />I
<br />
<br />... JOB ADDRESS
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0 DEMOLISH
<br />
<br />BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I
<br />111I1 ' I , II , 11111 ' II . , I , II , 111111 I , II ' III ' I ' III ' III I 111111111111 ' I .. I ' II , . I ' III II , I , Ill; III . I , III . 111I ' II . Il ' I , 1111111 . I .. I ' 1111 . 11111 . I . IIIIl ' , . I ,
<br />
<br />~
<br />~
<br />o
<br />I
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />o
<br />o
<br />o
<br />
<br />WORK PROPOSED
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />
<br />-0 BUILDING 1$ ~ ~.
<br />
<br />I
<br />o ELECTRICAL 1$
<br />
<br />o PLUMBING 1$
<br />
<br />
<br />o MECHANICAL 1$
<br />
<br />o GAS D ROOFING 0 SPECIALTY D OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />111111111111111111111111111111111111111111111111111111111111111;1111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o
<br />
<br />PROGRESS ENERGY
<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 />Y / N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />OTHER
<br />SIGNATUR
<br />
<br />
<br />License # I
<br />
<br />I~~~/N
<br />I
<br />
<br />Address License #
<br />
<br />11111111111111111111111..111.11'11111111111111111111111111111111111I1I11I111111III1111111111111111111111111111111I1II111111111111111111111111111111111
<br />
<br />RESIDENTIAL Attach (2) Plot pfan~ (2)$ets 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 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 />COMMERCIAL
<br />
<br />SIGN PERMIT
<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
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