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<br />813-780-0020
<br />
<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 />.~ /t '--6 0
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<br />Owner's Name G yWYJOj
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<br />Owner's Address I 7 W5
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<br />Fee Simple Titleholder NamJ
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<br />ljjf'1
<br />GVeeYl S bpe_ ()/l ~'e-/
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<br />I LOT # I J ~;2 I
<br />g'f '3-21-()176~~ -102dl
<br />(OBTAINED FROM PROPERTY TAX NOTICE) ,
<br />D SIGN 0 MOVE D DEMOlisH
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<br />~' ~~;:~ ~ ~~~~~-'
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<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Numb~r I
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<br />Fee Simple Titleholder Address I
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<br />137LI2'/ Lij}jj EetA, Al/~j
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<br />lay Ci ,]C) )-f/Y7 7CY( I PARCEL 10#1
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<br />c:=G NEW CONSTR CJ
<br />[S2] INSTALL CI
<br />PROPOSED USE D SFR D
<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />DESCRIPTION OF WORK I f>1~l J e... h(jYY>L 5~, i '''-D
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<br />BUILDING SIZE I 3/,>(5 ~ I SQ FOOTAGE I 10/'2- HEIGHT I
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<br />111............11.......,111.........1111........1111......11111...11111............11....111.11............1111.1111111111111111111..1111111'..11
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<br />o BUILDING 1$ ~j 6cJ
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<br />o ELECTRICAL 1$1 CC:{). Ou
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<br />o PLUMBING 1$
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<br />o MECHANICAL 1$ lCO().oo
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<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
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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/AL T
<br />REPAIR
<br />COMM
<br />FRAME
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<br />I
<br />I
<br />I
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<br />ROOFING
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<br />D
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<br />AMP SERVICE
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<br />D
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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 />VALUATION OF TOTAL CONSTRUCTION
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<br />2S() O~
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />Address .
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<br />:~:A~~~E !~~~ I
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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 />'ice
<br />Y / N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />COMPANY
<br />REGISTERED
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<br />License # I
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<br />I ~(tcf~{iRL~11Vv / N
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<br />
<br />License # I
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<br />COMPANY
<br />REGISTERED
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<br />L4;~1
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />I
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<br />License #
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/ N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />RESIDENTIAL
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<br />tIll I . I I , , f II . I , II , , I I I I , . . , , I , I , I , , II . I 11 II I I , I I r r I111 . , III I . , , I , II , I ~ II I , , III I . , r I I I I I I r II , I I I I I I I I . , II' I , , I I I I . , I I I I I . , , , II 111 II II , , , I II I r I III I
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<br />License #
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<br />COMMERCIAL
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<br />Attach (2) Plol 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 />Attach (3) sets of Building Plans; (1) liet 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 />SIGN PERMIT
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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)
<br />
<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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