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<br />813-780-0020
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<br />":'
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<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 />Owner's Name tL cfY
<br />Owner's Address ~--r:r Y-S/ )9~
<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 />JOB ADDRESS LOT #
<br />SUBDIVISION PARCEL ID#I
<br /> (OBTAINED FROM PROPERTY TAX NOnCE)
<br />WORK PROPOSED B NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH
<br /> INSTALL REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER I
<br />TYPE OF CONSTRUCTION !g! BLOCK D FRAME D STEEL D OTHER
<br />DESCRIPTION OF WORK G?2(/cce LA - G/z If{)~ /Jte~
<br />BUILDING SIZE SQ FOOTAGE I 2 ~
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<br />lit I I r I . I , II . . r 11III . r r , 1111111 I , , III , 11111 I , IIIIII . . , , 1111 . . , II . . III . , IIIII I , 111111 . . , I I , III .. , r II I' , , II , IIIIII , , , 11111 . n IIII , , 111111111 . . . I , rill
<br />o BUILDING 1$ I
<br />. VALUATION OF TOTAL CONSTRUCTION
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<br />D ELECTRICAL 1$ I
<br />o PLUMBING 1$ I
<br />D MECHANICAL 1$ I
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<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />III " 1111111111111111111111 " 111111111 " 1 " 1111111111 " 1111111111111111111111111111111111 " " II " I " " 1111111111111111 " 111111111111 " " 1111111111
<br />BUILDER I
<br />SIGNATURE
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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 MECHANICAL INSTALLATION
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<br />COMPANY
<br />REGISTERED
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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 />ELECTRICIAN
<br />SIGNATURE
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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 />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 />MECHANICAL
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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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 />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
<br />
<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
<br />"""""1""
<br />RESIDENTIAL
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<br />License #
<br />II " I " 111111 " 11111111 " 1111 " 111111111 " 1111 " 1111111111111111111111111111111111 " I " 111111111 " " 11111111 " I " " I " 111111 " " II
<br />Attach (2) Plot Plans; (2) 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 subdivisions/large 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 />....PROPERTY SURVEY required for all NEW construction.
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />DI~~~ti~~~':' . . . . . . , , , , , , , , , . . . . . . . . , , . . . , , , , , , , , , , , . . . . , . , , , , , . . , . . . . . . . . , , , , . . . . . . . . . . , , , . . . . . . , , . , . . , . , . , , , , , . , , . , , . . , . , , . , , . , , . , , . . . . . . , . , , . , , .
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<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 (PloUSurvey/Footage)
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<br />Drlveways"Not over Counter If on public roadways..needs ROW
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