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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 />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />
<br />..r<.
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />13 '8 Y,-\O
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<br />Fee Simple Titleholder Address
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<br />\ ~ t\-0
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<br />
<br />LOT #
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<br />SUBDIVISION I PARCEL ID#I \ \ -"2 (.., - Z ( - ()O I Q. L> 3'7C:>D- 6 \~ I
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br />WORK PROPOSED E3 NEW CONSTR B ADD/ALT 0 SIGN D MOVE 0 DEMOLISH
<br /> INSTALL REPAIR
<br />PROPOSED USE 0 SFR D COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I
<br />DESCRIPTION OF WORK I J.- 'T 0Jv C t ~'~}- C3c-( I-
<br />BUILDING SIZE I sa FOOTAGE I HEIGHT I
<br />
<br />JOB ADDRESS
<br />
<br />111111111"111111111111111111'11'1111111111'111111'111'11111111'11111"11'111111'11'11'11111'11'11111'111'111'11'11'1111'111111111111'11111'1'11'1
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />D BUILDING 1$
<br />
<br />D ELECTRICAL 1$
<br />D PLUMBING 1$
<br />
<br />D MECHANICAL 1$.:2.. 7 C) C)~ CJ cJ
<br />
<br />D GAS 0 ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11111111111111111111111111111111111111111111'111111111111111111111111111111111I111111111111111111I11111111I111111111I11111111111111I11111111111111
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
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<br />License #
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<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 />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />
<br />
<br />License # I
<br />
<br />c ~ ~p-e.
<br />
<br />
<br /><....
<br />
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Ifl'?--
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address License #
<br />1111111111I1111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111I11111111111111I1111111111111I11111111111111111I
<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 subdivisions/large projects
<br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />
<br />DI~~~ti~~~': ' . . , . . . . . , , . , , , . , , , , , , , , . , . , . , . , , , , , , . , . . , . , , , , , , , , , , , , , , . , , , , , , , , , . , , , , , . . . . . , , . . , , , , , , , , . . , . , . , , . , , , , , . , . , , , , . . . , . . . , . . , , . , , , . , , , . , , .
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<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500. a Notice of Commencement is required. (A/C 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
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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