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<br />813-780-0020
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<br />C:~.y Of Zep~yrhills Permit Application
<br />Building Dep 3rtm3nt
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<br />Fax-813-780-0021
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<br />Owner's Address
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<br />-L Phono Contact fol' P,armittin
<br />n: a:mnttmn:rttIlJ:[[I
<br />u-f:....-_/ Owner Phone Number
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<br />a~~~ J1C- ==~~~~wner Phone Number I
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<br />+1~ .). ---tl ~ J, 7 1 ner Phone Number I
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<br />Date Received
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<br />Owner's Name
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<br />JOB ADDRESS LOT #
<br />SUBDIVISION I PARCELI[)#LI2 -2(0 ..2., - 0(:)(_1)(0 __LLDOO - 00201
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br />WORK PROPOSED B NEW CONSTH B ADD/ALl D SIGN D MOVE D DEMOLISH
<br /> INSTALL REPAIR
<br />PROPOSED USE D SFR CJ COMM D OTHER I
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
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<br />o BUILDING =:J
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<br />o ~
<br />o 1$ ~
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<br />o MECHANiCAl ~~ ~ VAlUATION OF MECHANICAl INSTALLATION
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<br />o GAS ROOFING C] SPECIAL.TY D OTHER
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<br />FINISHED FLOOR ELEVATIONS I ] FLOOD ZONE AREA DYES DNO
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<br />111111111111111111111111111111111111111111111111111111111111111111111111)11111-111111111111111111111111111111111111111111111111111111111111111111111
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<br />BUILDER I ]
<br />SIGNATURE
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<br />IIII I II11 1 I 1 II 1 I 1 11 1 II' Illlll' 1II1I"IIII 1 IIII" "1111'1'1 I' "11"11"" '"" "1 f I' r 1111111'" II"1III"
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<br />HEIGHT I
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<br />BUILDING SIZE
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />CJ
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<br />PROGRESS ENERGY
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<br />W.R.E.C.
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
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<br />YI N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE
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<br />License #
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<br />Y/N
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<br />Address
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<br />PLUMBER
<br />SIGNATURE
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<br />Address
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<br />MECHANICAL
<br />SIGNATURE
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<br />Y/N
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<br />Address
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<br />OTHER
<br />SIGNATURE
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<br />Address ~ License #
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<br />11111111111111111111111111111111111111111111111111 11111111111111111111111111111111111111111111111111111111111111111111111
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<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 />COMMERCIAL 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/ Sil.t Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />''''PROPERTY SURVEY required for all NEW construction.
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<br />D,~~~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 AlC
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<br />Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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