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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 />Fax-813-780-0021
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<br />Owner's Name
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<br />3-& -0
<br />C-
<br />15~~3G-q!ll3ll/d
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<br />Date Received
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address
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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 />LOT #
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<br />1$ I
<br />~ ELECTRICAL 1$ 750_ cp J 1,1;0 AMP SERVICE
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
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<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 />11111111I111111111111111I1111111I1111111111111I11111111111I11111111111111111111111II11111111111I1111111111111111111111111I1111111111111I1111111111
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />I
<br />B
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />PARCEL ID#
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<br />WORK PROPOSED
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<br />B
<br />D
<br />D
<br />I~o~
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
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<br />DESCRIPTION OF WORK
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<br />D
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
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<br />DEMOLISH
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<br />OTHER
<br />STEEL
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<br />I
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<br />OTHER I
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<br />rn
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE
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<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />Address I License #
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<br />1111111111111111111111111111111111111111111111111111I11111111111111111I1111111111111111111111111111111111111111111111111I1111111111111111111111111
<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 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 />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />
<br />Address
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<br />PLUMBER
<br />SIGNATURE
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<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 />COMMERCIAL
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<br />SIGN PERMIT
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<br />YI N
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<br />Y/N
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<br />FEE CURRENT
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<br />License # I
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<br />~tr €'~~~;-I
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<br />License # I GC / '5 06/38'3
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<br />I
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<br />Y/N
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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 />Y I N
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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 />Y/N
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<br />Y/N
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<br />FEE CURRENT
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<br />DI~~~i:j~~~': ' , , , , , , . , , , , , , , . . , , , . . . , . , , , . , , , , , , , , , , . , , . , . , . . . , , . , , , , . , . , , , , , , , . , , , , , , , , , , . . , , . , , , , , , , , , . , , , , , . , , , . , , , , , , , , , , . , , , , , . , , , . , , , . , , . . . . , .
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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. (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 (Frontaf 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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