<br />813-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />PROPOSED USE D SFR ~ ~ D OTHER
<br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I I
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<br />D BUILDING 1$ ~<3\)~
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<br />D ELECTRICAL 1$
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<br />D PLUMBING 1$
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<br />D MECHANICAL 1$
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<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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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 />Date Received
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<br />Owner's Name
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<br />JOB ADDRESS
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<br />SUBDIVISION
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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
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />COMMERCIAL
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<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge projects
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence Installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />H"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
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />YI N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> LIcense #
<br />Y I N FEE CURRENT
<br /> LIcense #
<br />YI N FEE CURRENT
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<br />Y/N
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Address
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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 />Address
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<br />MECHANICAL
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />SIGN PERMIT
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<br />Fences (PloVSurvey/Footage)
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<br />Driveways-Not over Counter If on public roadwaysooneeds ROW
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