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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />3-9-07
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<br />Owner Phone Number I ~ '6 - ~ LD'l - to 3 Lo ~ @
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<br />Owner's Name
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<br />Owner's Address I L\ ~ l\ t)
<br />Fee Simple Titleholder Namel
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />LOT #
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />OTHER
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<br />STEEL rn
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<br />DESCRIPTION OF WORK ~ PLA<:.\ ~f1 c,~.c~E: B\J~\"l 8 '\ t'\jc.....
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<br />BUILDING SIZE SQ FOOTAGE I HEIGHT I
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
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<br />PARCELlD#1 t'f -1-(P -2f - OO( 0 -D2-'oO -- 0 (30
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />ADD/AL T D SIGN D MOVE D DEMOLISH
<br />REPAIR
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />COMM
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<br />OTHER
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<br />1$ I
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<br />1
<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 />ELECTRICAL
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />PLUMBING
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<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />
<br />PLUMBER ~ \ \ ~
<br />~NATURE M
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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 />
<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 subdivisions/large 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 />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
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<br />I YI N I
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
<br />
<br />DI~~~ti~~~':' . , , , , , , . , , , , . . , , , , , , . , , , , , , , , , , , . . . . . . . . . . , . , . , , , . . , , , , . , . , , . . , , , . , , , , . , , , , . , , . , , , , , , , , , , , , , . , , , . , , , , , , . , , , , . , . . , , , , , , , . , , . , , , , , , , . , , ,
<br />
<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
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC
<br />
<br />Fences (PloUSurvey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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