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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 />t-aX-tll;J-/tlU-UULl
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<br />Date Received
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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 />OWner's Name
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<br />F_ Simple Tllleholde' Alld.... I A ~~
<br />JOB ADDRESS I fa ~ \ S ~ h \J 0 ~\- ,~-\O\.. \ ~ X\. ~L) ('
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<br />IS~\\('Vl ~J~\-...~ \J\\\~c I PARCELID#I 03'" ,?b"'~ \ -O~OO-OOODO
<br />. - ~ (OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />lOT #
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<br />- OOC-O
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />D NEWCONSTR c:J ADD/ALT D
<br />D INSTALL c:J REPAIR
<br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I
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<br />D"" '~~,~~;~~""" "'I~" ......"""" ....,.."" j'... .~~~~~~:~~ O;~OTAL ";'NSTRUCTION
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<br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY /,,- Q----
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<br />D PLUMBING I' I / 9
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<br />~ MECHANICAL ~ l VALUATION OF MECHANICALlNSTAUATION( ){ 619
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<br />L-.J GAS ROOFING L-..J SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES D~
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<br />~~:~~~~ 'I' I . , I , , , , . , , . II1II , . , I " I , , , I ' I , ' I , I I , II , ' . , I " " . , , I , , , . . , . , ~~~~ ~~~ . II , .. , I , I , .. , , , I " " , III , III' . , , III , . . . , , I11II . I , ' , . , , . II 'II 'I
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<br />SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
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<br />I
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<br />I
<br />I
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<br />.E.C,
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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 />License #
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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 />License #
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<br />PLUMBER
<br />SIGNATURE
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<br />l'1Ot~ ,:\t),n ~\v- TV\.-~.
<br />I YI N I FEE CURRENT I Y/N I
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<br />License # I ~ &;, ~ ()\) l\ OL\-
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<br />MECHANICAL
<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 />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 />11'1111'111111111111111111111' 1111" 111111111111111111111111'1111111111111111111111111111111111111" 1111111111111111111111111" 1111111111111" 1111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Pennlt for new construction,
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wI Silt Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Penn it for all new projects. All commercial requirements must meet compliance
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 (PloVSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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