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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 />JOB ADDRESS
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<br />Fee Simple Titleholder Address I I
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN 0 MOVE D
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<br />Date Received
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<br />Owner's Address h~~\~\' ~l Q\2n~\iJ ~
<br />Fee Simple Titleholder NamJ
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<br />Owner Phone Number D'\3-,
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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 />SUBDIVISION
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<br />DESCRIPTION OF WORK
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<br />~NEWCONSTR ~ ADD/AlT
<br />~ INSTAll t=l REPAIR
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<br />I sa FOOTAGE I ~ ':J~ I HEIGHT I
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />BUILDING SIZE
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<br />BUilDING
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<br />1$ I
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<br />D ROOFING D
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />D PLUMBING
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<br />D MECHANICAL
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<br />VALUATION OF MECHANICAL INSTAllATION
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<br />D GAS
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<br />SPECIALTY D
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<br />OTHER
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE .
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<br />Address I
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<br />OTHER I
<br />SIGNA TURE
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<br />Address I
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<br />Address . I License # I \ <6", I
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<br />FEE CURRENT
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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 />License #
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<br />COMPANY
<br />REGISTERED
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<br />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />License #
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<br />COMPANY
<br />REGISTERED
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<br />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />License #
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<br />111111111111111111111111111111111'11'1"11'1'11111'11111"1'11111111111111111111""1111111111111"1'111111'11111111111111'111'11111111111111'111'
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance.
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTy SURVEY required for all NEW construction,
<br />I I I ~ ~ I I I I I I I I I I I I I II I I I I I I I I I I I ~ I d I I 111111 III II II II II I 111111 I I 1111 I 1111111 I I I I III I I II I 1111 I II I 11111 II I I I I I I II I I I I i I II III I III 11111 III I I I I I I I I I I I I I
<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)
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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 NC Driveways Fences (Plot/Survey/Footage)
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