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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 />Date Received
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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 />/ Owner's Name
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<br /><i\'f
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<br />~ 4L,
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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 I
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<br />SUBDIVISION
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<br />13~1<i:)
<br />I
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<br />J:43-
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<br />B
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<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D BLOCK
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<br />1 ~~ ~ lo..\....\....
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<br />I
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<br />1$ :J.Od..\. ~ I
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<br />D ELECTRICAL 1$ I
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<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I
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<br />D GAS D ROOFING D SPECIALTY D OTHER
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<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111I1111
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<br />BUILDER '! n 1/3 v~ COMPANY It \\~ e~ I
<br />SIGNATURE f.'::/4A"41G~ ? J) a ~ . I REGISTERED I Y / N I FEE CURRENT Y / N
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<br />Address License # I I
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<br />ELECTRICIAN I COMPANY 1
<br />SIGNATURE , REGISTERED Y / N FEE CURRENT Y / N
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<br />Address I License # I
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<br />::c:':A~'if.E I ;::,= Y I N FEE CU'"'"' Y I N I
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<br />Address I License # I
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<br />MECHANICAL I COMPANY I
<br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N
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<br />Address I License # I
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<br />OTHER I COMPANY I
<br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N
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<br />Address I License # I
<br />1111'11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111'11'11'111111
<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 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.
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
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<br />L' \\'.LL~, ~L 3~ sL\.~
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<br />PARCELlD#1 \\-2~'-Z.' - 00\0- I'1G\OO. D\'2.A
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />LOT #
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<br />/ JOB ADDRESS
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<br />WORK PROPOSED
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />D
<br />D
<br />D
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<br />DEMOLISH
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<br />I
<br />D
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<br />OTHER I
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<br />OTHER
<br />STEEL
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<br />/ DESCRIPTION OF WORK
<br />I '6 i , \~'
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<br />HEIGHT I
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<br />, BUILDING SIZE
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
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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 />-:j' Z to '-f
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />DI~~~ti~~~': ' , , , . . , , , . I , , I . , , I I , , . I . I . . , , . . , , , . I , , , , . , . , . I . . , I I . . , I I . , , , I , I . , , , I . , . , I I . . , . I . , . , . I . . , , , . . , I I , . . , , , , , , I I , I . , , , I . , I . , I I , I I , I I , . I . . . , . .
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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)
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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 (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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