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<br />813-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />,~~~f~
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<br />Fee Simple Titleholder Name
<br />
<br />
<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 />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 Address I
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<br />Il~IP/!J A/'~.~
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<br />1~071 I PARCEL'llOl
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<br />E3 NEW CONSTR rt:r'" ADD/ALT D
<br />INSTALL t=l REPAIR
<br />PROPOSED USE ~ SFR D COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
<br />
<br />DESCRIPTION OF WORK I Pa::zfJ, ~ 1-:2-. / X .L/.5' {"
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<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT
<br />111111'111111111111111111111111111"'11111'1"11111'11'1'1'111111111111111111111111111111111111111111111111111111111111111111'1"'1111111111'11111
<br />1$ .lf1~tJ ~ I
<br />
<br />D ELECTRICAL 1$ I
<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 CJNO
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<br />1111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111I11111111111111111111111111111
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<br />:~~~~~RE !.d}(~ ~1..' ~~~~~ ~Y/N
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<br />Address , License # I
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<br />I
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<br />JOB ADDRESS
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<br />LOT #
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<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
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />D
<br />
<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 />VALUATION OF MECHANICAL INSTALLATION
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<br />ND~
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
<br />
<br />YI N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br />
<br />Y/N
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<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />License #
<br />
<br />11111111111111111111111111111I111111I1111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111
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<br />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 on site, 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 wi 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 />DI~~~ii~~~':' , , , . , , . , , , , , , , . , . . , , , , , , , , , . . , , . , , , . . . , . , , , , . , , , , , . , , , . , , . , , . , , , . , , . , , , , , , , , . . , . . , . , . , , . , , , , , , , . . , , , , , , , , . , , . , , . . , . , , , , , , . , , , , , , , , , , , .
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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 (PloUSurvey/Footage)
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<br />Address
<br />111111111111111
<br />RESIDENTIAL
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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