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<br />81 :1-780-0020
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />.
<br />Date Received
<br />
<br />Fee Simple Titleholder Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I (813)
<br />Owner Phone Number I
<br />
<br />-5'537
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Ad
<br />
<br />JOB ADDRESS
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />
<br />SFR
<br />BLOCK
<br />
<br />fij
<br />D
<br />D
<br />
<br />SIGN
<br />
<br />D
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />
<br />PROPOSED USE 0
<br />TYPE OF CONSTRUCTION ~
<br />
<br />DESCRIPTION OF WORK I AM E;<;t<-V".o..-- rL,ors t W\'vIJo...v5 + ~e -VO"......f.
<br />
<br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I
<br />11111"'11111111111111'111111"11111111111111111111111111111111'1111'11111111'11111'111111'11111111111111"11111111111'111111111111111111111111'11
<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />o
<br />o
<br />o
<br />
<br />I
<br />D
<br />
<br />e.- k.c. 1'1 it?; {
<br />
<br />OTHER I
<br />
<br />OTHER
<br />STEEL
<br />
<br />1$ ~/ tJOV
<br />1$ ~ (pO
<br />D PLUMBING 1$
<br />D MECHANICAL 1$
<br />
<br />D GAS 0
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />[=7J
<br />~
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />~OC J J.JeJ~
<br />l4"w~)'rf) ~
<br />DNO ~~~~~~rC:f.~
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />SPECIALTY 0
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />
<br />DYES
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />R.
<br />
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />License #
<br />11111111111111111111I1111111111111I1111I11111111111I111111I1I1111I111111II111111111111111111111I1111111111I1111111111111111111II11
<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 on site, 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 AlC Fences (PloUSurvey/Footage)
<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 />
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