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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 Receivj!d
<br />
<br />
<br />
<br />Owner~s Name 2e r hili ..sf/filL bou..rc! r~h LLe
<br />I 0;0 c It fi..r 1M "lOlL/IN} I I. '/Z
<br />OWnefs Add"'''. r .lS-~ X ~ no;' w"J 2 -t>-<-I :J
<br />
<br />Fee Simple Titleholder Name _ .
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />fJ re.ri.
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />JOB ADDRESS
<br />
<br />S bl-cJ 9
<br />
<br />i #.. J.f-NIL f-
<br />
<br />Zep4r.Ju)/I FI- 3JJf~ lOT # ~ c.L 1-3
<br />
<br />PARCELlD# 1/ - .;2.~ -.;L/-OtJ I ~ -/? !bCJ-C5CI ZJ
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D
<br />
<br />SUBDIVISION
<br />
<br />I
<br />B
<br />D
<br />D
<br />OOa...rd
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />~
<br />
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />~ hI/Hie
<br />
<br />11/ Xjb "J-- 3"~ SQFOOTAGE
<br />
<br />1$ /?(Jt.?J~
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />c=J GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />WORK PROPOSED
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />DESCRIPTION OF WORK
<br />
<br />
<br />BUILDING SIZE
<br />
<br />ctJ
<br />
<br />BUILDING
<br />
<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br /><tV
<br />
<br />D
<br />
<br />D
<br />D
<br />
<br />Cover: 00 I xS.6 '
<br />
<br />HEIGHT I
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />o
<br />
<br />OTHER I
<br />
<br />~
<br />
<br />II I )( oft,
<br />I
<br />
<br />AMP SERVICE
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />W.R.E.C.
<br />
<br />c=J
<br />c=J
<br />c=J
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />D
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />~Dt/
<br />
<br />ROOFING
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA c=J YES
<br />
<br />DNO
<br />
<br />License #
<br />11I111111111I111I111111111111111111111I1111I111111111II11111111111I11111I11111111111111II1II111111111111I1111111111111111111111111
<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 onsite, Construction Plans, Stormwater 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, 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 />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 />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />~fu"u JJu Iw~
<br />(Ptf'lrJ Arf /U./tf
<br />-
<br />
<br />-A eA
<br />/U' z ~/kI!r FI.3~
<br />
<br />I COMPANY I
<br />REGISTERED
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<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 />Driveways-Not over Counter if on public roadways..needs ROW
<br />
<br />13M/' I,r 4kA . III L -
<br />I YI N I FEE CURRENT I Y/N I
<br />
<br />License # I C!-13::t'JC;Z~ 77
<br />
<br />Y I N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
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