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<br />, B 13-780-0020
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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 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 />Owner's Address
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<br />Fee Simple Titleholder Name
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />I
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<br />a NEW CONSTR B
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<br />INSTALL
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<br />PROPOSED USE 0 SFR D
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<br />TYPE OF CONSTRUCTION 0 BLOCK 0
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<br />DESCRIPTION OF WORK I ~
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<br />BUILDING SIZE . _ 1 SQQ.,YAGE I HEIGHT I I
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<br />. " . , r , . " . , . , , , I . , " , . " . , . . "" . , . r , " I r' r . , , . , . . I . r , r I . . 1111 . , . I . . I . I . I . I ' , ' , , . , . , " I . " , , . , . , ' , . I . I' , . I . I . . r II . I . r , . , . , . , . I . , r , . , . I . " r . . I rill
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<br />o BUILDING 1$/
<br />. :J..;:)9 () 100 . VALUATION OF TOTAL CONSTRUCTION
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<br />o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
<br />o PLUMBING 1$ I
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<br />o MECHANICAL 1$ / VALUATION OF MECHANICAL INSTALLATION
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<br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
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<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />" I " II " 11111111III1111111I " 111I11 " IIII11 , III " 111111I1 " 111111111 " 1III1II11111III11111 " 11111111 " 1I111111111111111111 " 111111111111111111111
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<br />BUILDER II COMPANY I
<br />SIGNATURE . . REGISTERED Y / N FEE CURRENT Y / N
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<br />I
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<br />LOT #
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<br />PARCEL 10# 1
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<br />SUBDIVISION
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<br />(OBTAINED FROM PROPERTY TAX NOnCE)
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<br />SIGN 0 MOVE 0
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />FRAME
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<br />o
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<br />OTHER
<br />STEEL
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<br />I
<br />o
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<br />OTHER I
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<br />o
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<br />W.R.E.C.
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<br />Y/N
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<br />I
<br />I
<br />I
<br />I
<br />I
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<br />1
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
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<br />PLUMBER I
<br />SIGNATURE
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<br />I
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<br />License #
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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 />License #
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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 />MECHANICAL I
<br />SIGNATURE
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<br />License #
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<br />OTHER
<br />SIGNATURE
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<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/ N
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<br />FEE CURRENT
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<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
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<br />
<br />Address
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<br />Address
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<br />RESIDENTIAL
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<br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permil for new construction,
<br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ 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 w/ 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 />111111111...'.......1.1....11111111111...11111...,1111......11....1111.11.111.111111.....111111..11.11111.1111.......1111.1111.1.11..'111111111111
<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. (A1C 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 (Plot/Survey/Footage)
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<br />Driveways-Not over Counter If on public roadways..needs ROW
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