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<br />813-780-0020
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<br />City of Zephyrhllls J-JermlI AppllCcHlurl
<br />Building Department
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<br />..
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<br />Phone Contact for Permitting
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<br />5ut>wner 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 />Date Received
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<br />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Nam~
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<br />I
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<br />D NEW CONSTR D
<br />D INSTALL D
<br />PROPOSED USE D SFR D
<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />DESCRIPTlONOFWORK I 1 out A~ S:::J$-fon
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<br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I I
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<br />, , , , , . , , . , , . , , , , , , .. , , . .. . , . , , , , , . , , , . , , , . , : , . . , .. , , .. , , . , , . , , .. .. , .. , , , .. , , .. , , , .. , , . , , .. , , .. , .. , , , .. .. , , , , .. , , , .. .. , , , . , , , , .. . , , , .. .. , .. . .. . .. , ,
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<br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
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<br />D PLUMBING 1$ 1
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<br />~ MECHANICAL 1$ ~9 30 . 00 I
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<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
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<br />Fee Simple Titleholder Address I
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<br />I ~ '7 g Y-D
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />D
<br />D
<br />o
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<br />DEMOLISH
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<br />I
<br />D
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<br />OTHER
<br />STEEL
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<br />OTHER I
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<br />D
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<br />W.R.E.C.
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<br />
<br />VALUATION OF MECHANICAL INSTALLATIO(
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<br />'-
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<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
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<br />DNO
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<br />I , I I , . I . I I I I ~ I I . . I I . . I . I ~ . I . . I . . I I I , , . . I I . . I I , . I . I . . I . I I . . . . . , . I I . I I . . . , . . . . . I I . . I I I . . . I . . I I . I . I . I . I I . . . I . I . I I I . . . I I I . . I I I . I . I . I I . I I I . . I , I I I I I I . I I
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE
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<br />Address I
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<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />COMPANY
<br />REGISTERED
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<br />COMPANY
<br />REGISTERED
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<br />MECHANICAL
<br />SIGNATURE
<br />
<br />
<br />Address
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<br />OTHER
<br />SIGNATURE
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<br />Address
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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 />License #
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<br />Y / N
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<br />Y/N
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<br />FEE CURRENT
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<br />License #
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<br />Y/ N
<br />
<br />Y/N
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<br />FEE CURRENT
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<br />License # I
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<br />I *j~ J IAIC;E~R~M\ r< / N I
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<br />License # ICAC058515
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<br />Y/N
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<br />Y/N
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<br />FEE CURRENT
<br />
<br />License #
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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 onsile, ConstrucUon 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 />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 Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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