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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 />~, I LOT' I B& I
<br />PARCELID,ICB-;?4:> -.2}-O,;2JO'-OOOOD - (!)!6~O I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D
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<br />Owner Phone Numbe
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<br />Owner Pho~e 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 4~
<br />Owner's Address I &tJ3 '7 1/ ~127~ ~r=
<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address I
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<br />10rOo1 r'Yt:"JlJSrzlJ It
<br />~/lJE.fu5T 1YI,f{, ~
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<br />D NEW CONSTR CJ ADD/ALT D
<br />D INSTALL D REPAIR
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<br />PROPOSED USE D SFR D COMM D OTHER I
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<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0
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<br />DESCRIPTION OF WORK IISO JtrvfP {;~..;' <5:&e.~ u~mf)r../
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<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I
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<br />, III " I . , ,. I . r I . . , III , , IIII . , . , I , I , I r . , IIII , II . . " I . . , II . WI , III r , . I fl' , III , IIII r , II1I I , I r r II . , I . . II , , II , I . I I r IIII , I r II . r rill' , I WI , III . II . . , r I . I , II
<br />D BUILDING 1$ I
<br />. VALUATION OF TOTAL CONSTRUCTION
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<br />D ELECTRICAL ~CO ~ I AMP SERVICE D PROGRESS ENERGY
<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
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<br />D GAS D ROOFING D SPECIALTY D OTHER
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<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111/11111111111111111111111111111
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<br />BUILDER I
<br />SIGNATURE
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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 />DEMOLISH
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<br />OTHER I
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<br />D
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<br />W,R.E.C,
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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 />PLUMBER
<br />SIGNATURE
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<br />T1 COMPANY
<br />REGISTERED
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<br />License # I ~'i'P.913~5
<br />Lf't 00/ 2. ~2.1
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<br />FEE CURRENT I Y / N
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<br />Y/N
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<br />Address LIcense #
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<br />MECHANICAL I COMPANY
<br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N
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<br />Address I LIcense #
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<br />OTHER I COMPANY
<br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N
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<br />Address I License #
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<br />1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111III111111111111111111111111111111111111
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<br />RESIDENTIAL 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 w/ 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 Forms, R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans w/ Slit Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit 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,
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<br />D/~cli~~~':' . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , , , . . . . . . . . . . . . . . , . . . . . , . . , . . . . . . . . . . . . . . , . , . . . , . . . . . . . . . . . . . . . . . . . . .
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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 NC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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