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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 />Date Received
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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 "TREE.. lAtVE. L.T D - Ii u;..
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<br />Owner's Address II C9 I CL S <c:. ~ S+-. N
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<br />Fee Simple Titleholder NamJ
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<br />V lu.. Es\:::
<br />l~pkT~(Cl.O- FL.I
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I BS?:>I ~I\o S+ . ~\.t(hilb.
<br />h" R.a;; ~5 V lu..A-<..~ I
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<br />FL. 3~S4L
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<br />LOT #
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<br />SUBDIVISION
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<br />PARCEL 10#1
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<br />DESCRIPTION OF WORK
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<br />D NEW CONSTR D ADD/ALT D
<br />D INSTALL D REPAIR
<br />D SFR D COMM D OTHER
<br />D BLOCK D FRAME D STEEL D OTHER I
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<br />1"Iffi+a..tl '-'- :L ~~ rncltr bo.nL.O'f'\ p::>le- 'OO~ w nw l'Y'lo..u"
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<br />I SQ FOOTAGE I I HEIGHT I I
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />p~t!.1
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />BUILDING SIZE
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<br />.....111..........1...11..11...1111...................11..11...11......11............11.........11..111............11......1111111...11.11111.....
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<br />1$ 1
<br />1$ 1
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<br />D PLUMBING 1$ I -- -- - - --~
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<br />~ ::HANICAL ~ ROOFING b VAL~::::: M~ANI:~::TAllATIONd 5 & ~:A
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<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo P 5' iJ 0
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<br />".""..""."""..",.."...",..""....",....""."....",..,..",.."",...",...."....".",........""",.,..,..""",.",(,.,..,..
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<br />:~~~~~RE I I ~::.~~:::~ I Y I N FEE CURRENT Y I N I
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<br />Address I I License # I I
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<br />COMPANY 1K~se... ~l e chi c..c....J :CrK. I
<br />REGISTERED I Y I N I FEE CURRENT I Y I N I
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<br />License # llit+9 I
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<br />D
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />ELECTRICAL
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<br />AMP SERVICE \'DC)
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<br />~.
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />ro
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<br />ELECTRICIA
<br />SIGNATURE
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />License #
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<br />MECHANICAL
<br />SIGNATURE
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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 />Address
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<br />License #
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<br />OTHER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />YI N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />License #
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<br />, , ~ I I II I , I I I III I I I I II I I I II I I I IIIII , , , , , , , , , , II , I , II , II , II , . I 1111 I III II I I I III II 1I111 , , . . 1111 111111111111I11111 , , . r , . I111 I I I I11IIIII r I , II r . , I . I , . I I
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<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 onsite, 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 onsite, 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.
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<br />I~I..IIJIIIIIIIIII~~IIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII..~~.IIIIIIIIIIIII...~IIIIIIIIIIIIIIIIIIIII~~I.IIIIIIIIIIIIIIIIIIIIIIIIII
<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 AlC Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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