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<br />813-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />DC\te Recei~ed
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<br />\<;+~ sf
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<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number I
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<br />Owner's Name
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<br />Owner's Address I SC) ~ ~
<br />Fee Simple Titleholder NamJ
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />("~:::F\ ~ ~
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<br />SUBDIVISION
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<br />s\\
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<br />I ~~t':>
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<br />- a oaa
<br />'\"A4 ~~\ S,-,,-".> ~O\~
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />I
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<br />a NEW CONSTR B ADD/ALT 0
<br />INSTALL REPAIR
<br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I ~1.:>.;,{.
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I
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<br />DESCRIPTlD. OF WORK I ~ ~ ~.,-L '- <;.. \' \" ~ 'S 'I. \, <;,1,., ~ _ \'" ",
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<br />BUILDING SIZE I I SQ FOOTAGE I \ Go ~ e:.. I H~HT I! I
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<br />,..,.".....,...,..,...,.....",.."...,.,..,...,......,.........,..........................,....... .,.,...........,',.".....,..,..,...........,
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<br />WORK PROPOSED
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<br />SIGN
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<br />o
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<br />MOVE
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<br />o
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<br />DEMOLIsH
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<br />0 BUILDING 1$ J.- '" ;.- 1 VALUATION OF TOTAL CONSTRUCTION
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<br />0 ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
<br />0 PLUMBING 1$ I GJ~+ _ ~o.. ~
<br />0 MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION
<br />0 GAS .~-S ROOFING 0 SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNo
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<br />r/
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<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />Address ~.,..........
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />RESIDENTIAL
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<br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onsile, Construct/on Plans, Sanitary Facilities & 1 dumpster
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) WOrking days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Directions:
<br />Fill Qut application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500. a Notice of Commencement Is required. CAlC upgrades over $5000)
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<br />.. Agent (for the contractor) or Power of Attorney (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 A1C Driveways Fences (PIal/SurveY/Footage)
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