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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application if y'l/ ~1
<br />Building Department .. ' ,\P
<br />Pa.sc..o
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />
<br />
<br />Owner's Name '06tme.s A. 2- u..ll
<br />Owner's Address /3'1 51:;( <6 ~ Ave..-.
<br />Fee Simple Titleholder Namel ~
<br />
<br />
<br />Fee Simple Titleholder Address I ~
<br />
<br />Owner Phone Number ('3 ( 3 ) 7'6?> - 37'1 '-f
<br /><2~ l( I () I I
<br />Owner Phone Number ~ I 3 ~q - \ t.fLf-'I
<br />
<br />Owner Phone Number I
<br />
<br />JOB ADDRESS
<br />
<br />13'15 \ ~ 'b~ Av~. I Zeph~rhi II Sf A. 33S-c.{-:l
<br />I SU-vt~e.-t ~ ~tlA-+~S ~ ~ I
<br />
<br />LOT #
<br />
<br />PARCELlD#lr ~ - ~G.- ,;U - 0 3 L 0 - 00000 - O(P"1 0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />SUBDIVISION
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />~
<br />D
<br />g]
<br />e -It::> L I.V [.
<br />30'8 c:\1
<br />
<br />WORK PROPOSED
<br />
<br />
<br />I I I , I I . . I , I I . I . ~ . . I I I I I I I P I I I I I I I . . I I I I I I , I I , . , I , I . . I I I I I 1 , I . . lIt , . 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 r I I I , I I I I I I , . I I I I I I I I r , , I I I I I I I , I
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
<br />
<br />DEMOLISH
<br />
<br />I
<br />D
<br />
<br />OTHER
<br />STEEL
<br />
<br />OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />II tf )( a.;2..
<br />
<br />Itrea. -.r re 16C.~ nOu.se wl\"dDu.>S-5a.~e.
<br />5 I "Z. (:.
<br />HEIGHT I "B I
<br />
<br />BUILDING SIZE
<br />
<br />~ BUILDING 1$ fRS-DO. 00
<br />~ ELECTRICAL 1$
<br />D PLUMBING 1$
<br />rzI MECHANICAL 1$
<br />D GAS D ROOFING
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />I
<br />I
<br />I
<br />I
<br />D
<br />1
<br />
<br />AMP SERVICE
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />JJbQ;
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />
<br /> i~, N FEE CURRENT
<br /> License #
<br />COMPANY 1~/N
<br />REGISTERED FEE CURRENT
<br /> License #
<br />COMPANY *
<br />REGISTERED Y I N FEE CURRENT
<br /> License #
<br /> l{i~
<br /> I Y / N FEE CURRENT
<br /> License #
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />DNO
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y / N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Address License #
<br />1111111111111I1111I1I11I11I111111111III111111I11111I111I111I1111II111111111II111II1111I1I11II1111III11I11111II11I111111111I1111111111I11I11111I111
<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 w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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~~~i:i~~~': ' . . . . . . , , . . . . . . , . . . . . . , . . . . , , . . . . , . . . . . . . . . , . . . , , . . . , , . . . , , . . . . . . , . . . . , , . . . , , . . . , , . . . . . , . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , .
<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 A1C Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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