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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 />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />38111
<br />
<br />fI\~, ll:.~:\-
<br />
<br />LOT# I
<br />
<br />.s" \.H~ re.., I
<br />I PARCELlD#1 Ol/~fo,.. ~- OOID ;' 7J31riU- OOZO
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEWCONSTR ~ ADD/ALT D SIGN D MOVE D
<br />D INSTALL t::j REPAIR
<br />PROPOSED USE D SFR D COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
<br />
<br />DESCRIPTION OF WORK l ~\..l +e..r-l '0 r KeNo if A+ IOM's
<br />
<br />BUILDING SIZE I I SQ FOOTAGE I I
<br />
<br />[2i' , , , ~~,~~;~~ ' , , , ., , ' 'i~ ' , Z':; , : ';~~ ' , , , , · i' , , , , ~~~~~:~~ '~; ~~~~~ ~~~~~~~;;;,~~' , , , , , , , , " ,. , , , , , , , , ' , , , , , , , ' , , , , , , , , ' , , ,
<br />1$ 7600 I
<br />1$ ~ZLX? I
<br />1$ 37~ I
<br />
<br />D ROOFING D
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
<br />D GAS
<br />
<br />AMP SERVICE
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />HEIGHT I
<br />
<br />D
<br />
<br />o
<br />
<br />W.R.E.C
<br />
<br />PROGRESS ENERGY
<br />
<br />OTHER
<br />
<br />~D~
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />FINISHED FLOOR ELEVATIONS I I FLUOD ZONE AREA DYES ONO
<br />
<br />
<br />III'.. 11'1... I' ,I..., 'I p., p..." 1111. III"'" I tit. '11"" 11"'1; III" (11'1. .1'1'..' I. I' P 11111.'.' I" III 1'.1. I" II. p. I., 111'1..." 1"'..1'1. I".. I ,
<br />
<br />SPECIALTY D
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<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 />Address
<br />
<br />
<br />License # I Cb c.. ; Lr3 OLj /
<br />
<br />LC. e C7,12 ("( $>1) C
<br />FEE CURRENT Y / N
<br />
<br />License # lEI< /3oo/3?J"3
<br />
<br />
<br />
<br />
<br />License #
<br />
<br />~ 1{)5 f)~. C o...J 1"~
<br />Y /)( I FEE CURRE T
<br />
<br />1-(0.:/7 #;1:0:.1
<br />Y/N I
<br />
<br />License #
<br />
<br />
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 subdivisions/large 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 w/ 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.
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<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 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 />Driveways-Not over Counter if on public roadways..needs ROW
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