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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 />-Jf.. €So 10
<br />
<br />Date Received
<br />
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />1:3~c!i/7 /?ft~-t!-r1Y a7
<br />
<br />1u.J~YI'~~~d I
<br />
<br />D NEW CONSTR Cl
<br />L.8.I INSTALL Cl
<br />PROPOSED USE I&l SFR Cl
<br />TYPE OF CONSTRUCTION D BLOCK D
<br />
<br />DESCRIPTION OF WORK l~rrIQ~~~ fr'c~-;/t j.,~
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<br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I
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<br />. , , , . , , , , . , , , , , . . , , , , .. , , , . , , , . . , , , , , , , , , . , , ' , , , I . II ' , .. , , , , . . , , .. , , , , , . , , , , , .. . , , , . , , , , , . .. , , , , .. , , , , , , , . .. , .. , , , , , , , , , . , , , , , , , .. , .. , , , I .. . , .. , , ,
<br />
<br />JOB ADDRESS
<br />
<br />LOT #
<br />
<br />SUBDIVISION
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<br />PARCEL ID#I
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />(OST AINED FROM PROPERTY TAX NOTICE)
<br />
<br />SIGN 0 MOVE D
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />D
<br />D
<br />D
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />o
<br />
<br />OTHER I
<br />
<br />BUILDING
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$ >P;:J~
<br />
<br />1$
<br />
<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />D
<br />D
<br />D
<br />D
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D WR.E.C.
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<br />PLUMBING
<br />
<br />C.cP1e
<br />
<br />2- - 3 F,
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<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />ROOFING
<br />
<br />D
<br />I
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />DNO
<br />
<br />. . , , . P . . " I I . n I . . . . I . . .. I . . .. . . . I , I . . . , I .. . . . I I I I . . I I I , r " " . II I' . , , " 111111111111111111 fill' , " I , , III r It .. I .. . . II , , I 1111111111111 . . . . . . ,. . . . I . . ,
<br />
<br />BUILDER
<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 />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />License # I
<br />
<br />~~eFE~~~~Y/N
<br />
<br />
<br />License # I
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />111111111111111 111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 onsile, 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 roadwaysooneeds ROW
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