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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 />Dale Received
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<br />Fax-813-780-0021
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<br />1f~ 4 Jff
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<br />Owner's Name
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<br />Owner's Address 16",-/
<br />Fee Simple Titleholder Namel
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<br />Owner Phone Number
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<br />Owner Phone Number I ~ 3
<br />Owner Phone Number I
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I.OT#
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<br />1/7 - JQ)
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<br />PARCEL 10#1
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />FRAME
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<br />11-)&- )1- (XJ/O - /3800 ~ 0/ "70
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />DEMOLISH
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<br />SUBDIVISION
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<br />DESCRIPTION OF WORK
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<br />SQ FOOTAGE I
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<br />HEIGHT I
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<br />BUILDING SIZE
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<br />D BUILDING 1$ / r- tJdt. ""0 I VALUATION OF TOTAL CONSTRUCTION
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<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C.
<br />D PLUMBING 1$ I ~Dt,/
<br />D MECHANICAL ~- ROOFING ~ VALUATION OF MECHANICAL INSTALLATION
<br />D GAS D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />BUILDER
<br />SIGNATURE
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<br />Address
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<br />ELECTRICIAN r-
<br />SIGNATURE ~
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<br />Address I
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<br />PLUMBER r-
<br />SIGNATURE '--
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<br />Address I
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<br />MECHANICAL r-
<br />SIGNATURE '--
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<br />Address I
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<br />OTHER
<br />SIGNATURE
<br />Address 1.3 -)3 ;Lj- ..J
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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 onsile, Construction Plans, stormwater Plans w/ Silt Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permil for subdivisions/large projects
<br />COMMERCIAL Attach (3.1 sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construcUon.
<br />Minimum ten (10) working days after submittal date. Required onsile, ConstrucUon Plans, Stormwater Plans w/ Slit Fence Installed,
<br />Sanitary Facilities & 1 dumpster. Slle 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 />1I111I11111111111111111111111111111111II111111111I11I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />Directions:
<br />Fill out application complelely.
<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 (PloVSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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