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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 />Date Re,ceived
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<br />I,), -fh Sf: I Zephyr;" ills 335lfOl
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<br />Owner's Name T-e
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<br />Owner's Address I S-g J ~ .
<br />Fee Simple Titleholder NamJ
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<br />Fee Simple Titleholder Address I
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<br />1J.+hSf. " Ze(Jhyrh,l/~. FL- 335tfO . .. .. I LOT;
<br />. I PARCELlD#II/-~-J./-OO/O -0370D -009D
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />o NEW CONSTR r=J' ADD/ALT 0 SIGN D MOVE 0
<br />D INSTALL CJ REPAIR
<br />PROPOSED USE D SFR 0 COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I
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<br />DESCRIPTIONOFWORK ItloS"e /1'1 Exisfinj (ltlr;O{)rt ,-10 ~r~e- .
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<br />BUILDING SIZE I frJl X ~ 3/ I SQ FOOTAGE I 3q I rp. I HEIGHT I I
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<br />18 BUILDING 1$ q, 000. 'H2 I
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<br />D ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I
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<br />D GAS 0 ROOFING D
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<br />SUBDIVISION
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<br />ISR;). q
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<br />JOB ADDRESS
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<br />DEMOLIsH
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<br />WORK PROPOSED
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />PROGRESS ENERGY c=J
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<br />";~~J~~ rJ~r . --rs
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<br />~ l{J A ,- r_A./J-A/~
<br />VALUATION OF MECHANICAL INSTALLATION I J ~ JV'-f -'\..)'.
<br />. . 1 .u(l.. O?~l~b-
<br />SPECIALTY 0 OTHER
<br />FLOOD ZONE AREA DYES [=:]NO
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<br />W.R.E.C.
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<br />BUILDER
<br />SIGNATURE
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<br />FINISHED FLOOR ELEVATIONS
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />Address
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<br />PLUMBER
<br />SIGNATURE
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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 I
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<br />Y/N
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<br />Y/N
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<br />1111111"1111111111111'1111111'11111111111111111111.111111111111111111111111111111111111111111111111111111111111111111I11I111111111111111111111I1I1
<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 onslle, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) liet of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onslle, 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 alj 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 A1C Driveways Fences (PloUSurvey/Footage)
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