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<br />813-780-0020
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Date Received
<br />
<br />.. 6/0
<br />~ e ex.'
<br />Owoo',Add'... I 'J.'60o.. N PoC~120I~I~Mj
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<br />Fee Simple Titleholder Namel
<br />
<br />I
<br />I
<br />
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<br />Fee Simple Titleholder Address I !
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<br />I 35?Jb lJJJden R;Jer Blvd I LOT# I I
<br />I I PARCElID#1 a/-laca 1500nn.10mo6)l
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />
<br />D NEWCONSTR I==:l ADD/ALT 0 SIGN D MOVE 0
<br />D INSTALL D REPAIR
<br />
<br />PROPOSED USE 0 SFR D COMM 0
<br />
<br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0
<br />
<br />DESCRIPTION OF WORK I ~~ kl {~~~ 2 ro ()U A.lew 7 2 j)~ VllfL
<br />
<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT
<br />TTfTTIII" '1111' '11111'1111" 1111'1111" '111111' 1111" '1111' '1111'11111' '1111' 1111' 111111111' 11111111111111111111' 'III' 'II" 111'1'1111' '1111'1111'
<br />
<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number I
<br />
<br />Owner's Name
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />~
<br />
<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 0 ROOFING D SPECIALTY CJ OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11111111111111111111I111111111111111111111111111111111I11111111I111111111111111111111111111I1111I11111111111I1111111111111111111111111111111111111
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />o
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Y I N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />License # I
<br />
<br />IqC\n'~e/ Ff7~C~
<br />Y I N FEE CURREN Y I N
<br />
<br />I
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Address License #
<br />111111111111111111I111I111111111111111111111111111111111111111I111111111111111111111I111111111111111111111I1111111111I1111111111I1111I111111111111
<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 />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 />Attach (2) sets of Engineered Plans.
<br />....PROPERTy SURVEY required for all NEW construction.
<br />
<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Di~~~ti~~~':' , I I . , , , , , , , , , , , , , , , I , , , , , , . , , , , , , , , , . , . , , , . , , , . , , , , . . , , , . , , , . , . , , , , , , . I . , , . . . , . . . . , , , , . . . , , , , , , , , , . , , . , , , , , . , . , , , , , , , , , , , , , , , , , , , , , , , ,
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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. (AlC upgrades over $5000)
<br />
<br />** Agent (for the contractor) or Power of Allomey (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 NC Fences (PloIISurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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