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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Date Received
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<br />Owner's Name
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<br />Owner's Address I
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<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 />Fee Simple Titleholder Address I
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<br />5 7;;J-. '7
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<br />G-, ( /
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<br />LOT #
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<br />a3/ucJ
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<br />I PARCELlD#LH...'l-le-'1..(-OO(O"'OlloO- 0(00
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />o ADD/ALT [$J SIGN D MOVE 0
<br />D REPAIR
<br />~ COMM D
<br />o FRAME D
<br />
<br />B
<br />
<br />PROPOSED USE D
<br />
<br />TYPE OF CONSTRUCTION D
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<br />DESCRIPTION OF WORK I ~/ U ; ~ tt t'J y q jJ.e..
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<br />BUILDING SIZE I SQ :OOTAGE I HEIGHT I
<br />TTIIII'I'IIIIIIIIIIII'III'lllllllllllllllllllllllllllll11111111111111111111111111111111111111111111'1111111111111111111'11111111111111111111111111
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<br />1$
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<br />1$ ! SDO r ..9'
<br />
<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I
<br />
<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 />I
<br />I
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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 />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />D
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />W.R.E.C.
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<br />BUILDING
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<br />~
<br />
<br />ELECTRICAL
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<br />I W AMP SERVICE
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<br />DEMOLISH
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<br />OTHER I
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<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />'-
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I License #
<br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111
<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 wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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.
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
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<br />COMMERCIAL
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<br />SIGN PERMIT
<br />
<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />~~/h/7 EZ-"--f..../~ ~L
<br />Y I N I FEE CURRENT Y I N
<br />License # I
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />YI N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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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. CAlC upgrades over $5000)
<br />
<br />-- Agent (for the contractor) or Power of Attomey (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)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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