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<br />11'-1(5
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<br />813-780-0020
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<br />City of Zephyrhills ~ermlt Appllcauul ~
<br />Building Department
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<br />Date Received
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<br />owner's Name
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<br />S-,t;d6 J3)..f'CrVN
<br />, 94
<br />Owner's Address 39 3 3 LJ
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />'&~
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<br />2.';/~~
<br />-335<121
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<br />Z_t:> .A - )
<br />PARCEL ID#[
<br />
<br />Owner phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number l
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<br />F.. Slmpl. Titl.hold.. Add,",. ~ ..
<br />JOB ADDRESS 3 J J. 3 'l
<br />
<br />WORK PROPOSED
<br />
<br />~4~
<br />1
<br />
<br />D NEW CONSTR E1 ADD/ALT
<br />W' INSTALL REPAIR
<br />
<br />PROPOSED USE m SFR 0 - COMM
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME
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<br />DESCRIPTION OF WORK I G-A F - / c; ~ ~
<br />
<br />BUILDING SIZE I I sa FOOTAGE I J HEIGIfT I J
<br />I , I , , . , , . , . I I , " I , , I . , , ' , I ' I . ' . . I . , . I , , . , , , , " , , I , , · ' , , . . , , . , · . 1 ' , , , , , , , . I ' , 'I ' I . I ' " , , . · ' " , " · ' " , , , " . , , " I , , , , . , , " I , , I , , , , , . I , , , ' , · ' I ' , . " , ' I
<br />
<br />o BUILDING 1$ 62;c/ 75. 00 VALUATION OF TOTAL CONSTRUCTION
<br />o ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY
<br />o PLUMBING 1$
<br />o MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
<br />
<br />o GAS m ROOFING 0 SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11""'1"'1"1'1"1""'1""1'1"1'.""1""""'"""1'11':11"1111.'1111'1'111111'1'1"""1'11""1""11'.""'1"""1'1"1'1"1""1""
<br />
<br />~35i ;.,
<br />
<br />LOT #
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D
<br />
<br />OTHER [ f5 00 F '
<br />STEEL 0 OTHER I
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<br />DEMOLISH
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<br />SUBDIVISION
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<br />W.R.E.C,
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
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<br />BUILDER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Addres$
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />License #
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />TL~
<br />I YI N
<br />
<br />~D.{'JN6-' LC~
<br />FEE CURRENT I Y I N I
<br />I v:.L/'32~:10C
<br />
<br />Address License #
<br />
<br />1\1 , 11111111111111111\1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 onsite, Construction Plans, Stormwater Plans wi Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvislons/large projects
<br />Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 />11.11111,11111111111111111111111111111111111111111111111111111I11111111I111I1111111111111111111111111II111111IIIIIIIIIIIIIIillllllllllilllllllilllll
<br />Directions:
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500, a Notice of Commencement is required. CAlC 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
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Fences (PloUsurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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