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<br />813-780-0020
<br />
<br />City of Zephyrhills t-'ermlt AppllcallOIl
<br />Building Department
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<br />
<br />Date Re&eivVd ..
<br />
<br />Owner's Name
<br />
<br />Mtr:d.:~~ .Av~.
<br />
<br />D.Jf CJy
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />IS77'1l
<br />I
<br />
<br />E:": \ e.~ J
<br />
<br />i)]vd. I Zp!y,,':US . Fe 1?5Yz
<br />
<br />I PARCEL ID#I o? - 2..<0... 2.{ - 001 0 ~ 0{,1 00 :.. ()OfJO
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D ADD/ALT D SIGN D MOVE D
<br />D REPAIR
<br />D . COMM IKJ
<br />D FRAME D
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />E3
<br />
<br />P~OPOSED USE D
<br />TYPE OF CONSTRUCTION D
<br />
<br />DESCRIPTION OF WORK I S-. h We.../<
<br />
<br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I
<br />
<br />p " . I . I . , I . . 1 I . I . . I , I I I. ~ I . I I I I ~ . I , I I . . . I I I I . . . . I . I I . I I . I I I I . I I . . I . I . . . I . . I I" , . . . , I . . I . I I . I I . . I I . . I . . I .' . . , I . . . . I I . .. I I I . . I . , . I I . I , t, I . . . , I I . I , . I . . I , I I
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I S,:.s.e
<br />STEEL D
<br />
<br />W.,/c
<br />OTHER I
<br />
<br />D
<br />
<br />1$ I
<br />
<br />D ELECTRICAL 1$ I
<br />
<br />D PLUMBING 1$ I
<br />
<br />D MECHANICAL 1$ I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />t , I j , I . I I , 1 I I , , I I I .', I I I I , , , , . ,t , ~ I I I I I , I I I P , I I . .: I . I I I, , , I P , I I , , I I I , , . , I " I I , n I I I I , I , , I t I I I I , . I I , , I , I , , , , . I I I , , , , I It' . I 1 I PI' , , I Ii. . I , , , , I I I I , , I I I I I I I
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<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
<br />
<br />Address
<br />
<br />
<br />
<br />... frCA d...,'o...
<br />FEE CURRENT
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />License #
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Addres$
<br />
<br />License #
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N FEE CURRENT
<br /> License #
<br />YIN FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />
<br />YIN
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNAtURE
<br />
<br />Address I
<br />
<br />11111111111 J 11111111111111111111111111111111111111111111111111111111111111111111 J 111111 J 1111111111111111111111111111111111111111111111111 J 11111111
<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 subdivisionsllarge projects
<br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIllllllillllllllll
<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. (AlC upgrades over $5000)
<br />
<br />Agent (for the cqntractor) 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 />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YIN
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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