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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 />raX-tll,j-ftlU-UUL I
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<br />Ay ~ O\-\ASe. LOT # I 33 ~~
<br />PARCELlD#r?A ~ 26- 2 } - 0 I 8() -ocxco -:3 3L/ 0 I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN D MOVE D
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<br />D
<br />D
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<br />D NEW CONSTR r=J
<br />L)Q INSTALL D
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<br />PROPOSED USE D SFR D
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<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />DESCRIPTIONOFWORK ~moPik home, ]~-l~~P
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<br />BUILDING SIZE 131 x S , ISQ FOOTAGE I __ _ HEIGHT I
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<br />TTTT'" , , , , .. , , , . . , , . , , , ' . , , . , , , , . , , ' , . , , , .. , , , , . . , . II " , ' . , , .. . , , .. , , , .. , , , .. , , . .. , , , . , , , . . , , , .. , , , , , , , .. .. , , I ' , , . .. , , . .. . , , , , . .. .. , . , , , , , , , , .. , ,
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<br />D BUILDING 1$ 35,(:1)0,01) 1
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<br />D ELECTRICAL 1$ sm.oo I
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<br />D PLUMBING 1$ 25 D. () () I
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<br />D MECHANICAL 1$ J JXf). <:> (:) I
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<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS 1 1
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<br />Date Received
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<br />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />Drj\[101
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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 />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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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 />DEMOLISH
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<br />OTHER I mObile. l"lGIYlE'....
<br />STEEL D OTHER I
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<br />AMP SERVICE
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
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<br />D
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<br />D
<br />NOc.. ./
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY 0
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<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />I IIIII , III1IIII , I 1 " , I I 11111 , I t II , , , , I . , , . , . , r I . I . I I I I , I I . III , " I . , It I , , " I . I . I I I IIII , , It' , I I I I I I III1 IIIIII1 i , I " III " I " I , , I " " , , I I III1II1I , II , ,
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<br />BUILDER ~~
<br />SIGNATURE .
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<br />Add"", J n / -- - . c. - _
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<br />ELECTRICIAN! 1--'/- ~ ~ ~
<br />SIGNATURE . ~.-^- ~
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<br />Address
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<br />:~:::.!~~
<br />~I~~~~~:LI~~
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<br />Address i
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<br />OTHER I
<br />SIGNATURE
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<br />Address I
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<br />COMPANY
<br />REGISTERED
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<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
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<br />COMPANY
<br />REGISTERED
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<br />COMPANY
<br />REGISTERED
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<br />I ~ l1t1e(;L~:E~ J
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<br />License # I
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<br />I~)N I
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<br />License #
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<br />License #
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<br />Y / N FEE CURRENT
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<br />Y/N
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<br />License #
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<br />11111111111111111111111111111111111 , 1111I11111111111 , 1111111111111111111111111111111111111111111111111111111111 , 1111111111I1 , 111111111111111111111
<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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislons/iarge 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/ Sill 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.
<br />111111111I111111111111111111111I111111111111111111111111I1111111111I11111111111111111111111II111111111111111111111111111 i111111111 j I11111 j 1I1I1111
<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 Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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