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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
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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 />JOB ADDRESS
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<br />ld150A
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<br />I PARCEL ID#I
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<br />BUILDING SIZE SQ FOOTAGE I HEIGHT I
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<br />111111111111111111111111" 1111111111'11111111111111111"""'" 111111111111111111111I 11'1111111111111111111'1111111111111111" I1111111111111111 rTT
<br />
<br />1$
<br />1$
<br />
<br />D PLUMBING 1$ I
<br />
<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
<br />
<br />1111111111I1111111111I1111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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<br />SUBDIVISION
<br />
<br />WORK PROPOSED
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<br />B
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<br />I
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />DESCRIPTION OF WORK
<br />
<br />D
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PROGRESS ENERGY
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<br />BUILDING
<br />
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<br />
<br />/06ZJ~ es:>-c
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<br />I &D AMP SERVICE
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<br />ELECTRICAL
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<br />LOT #
<br />
<br />CYl-2&; ~L.I' (X)\D-Oo.-Soo-031D
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />DEMOLISH
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<br />OTHER
<br />STEEL
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<br />W.R.E.C,
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<br />VALUATION OF MECHANICAL INSTALLATION
<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 />1111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111I111111111111II111I1111
<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 w/ 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.
<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 #
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<br />
<br />L<<1; ~~~u~cf/~1f7 L
<br />
<br />License # I ~/roo/J~3
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
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<br />DI~~~ti~~~':' . . , , , , . . , , , . . , , , . , , , , . . , . , . . . . . , , , , , . . . . . . . , , , . . , , . . . . , , , . . . , , , . , . . , , , , . . . . . . . . . , , , . . , . , , , , , . , . , . . . . , , , , , , , , . . , . . , , , , , , , , . , . . , , , , , . , , .
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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. (AlC upgrades over $5000)
<br />
<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)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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