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<br />813-780-0020
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<br />City of Zephyrhills Permit Application ,
<br />Building Department :1J.f5 (f2)
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<br />Fax-813-780-0021
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<br />Owner's Name
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<br />Owner's Address I ",57 4- 4-
<br />Fee Simple Titleholder Namel
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<br />
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<br />+1~~3o
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<br />Date Recsived
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<br />r
<br />6/
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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 />Fee Simple Titleholder Address I
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<br />15944
<br />I
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<br />/tJ i-It ) r
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<br />- ..
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<br />LOT #
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<br />JOB ADDRESS
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<br />PARCELlD#1
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<br />SUBDIVISION
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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 />BUILDING SIZE
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<br />I
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<br />111" P IIIII'TIII"" 111111111'" "111"1111 11"11111'1111' It 11111"'1111' III1II I III' III11III1IIIII11111111111111 r II PII '1'11111111'1111 '1111"11' I'
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<br />o NEW CONSTR
<br />D ~TALL
<br />~ SFR
<br />D BLOCK
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<br />I 1J~J1tJtI<.,
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<br />I
<br />
<br />r=J~D/ALT
<br />[12f REPAIR
<br />D COMM
<br />D FRAME
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<br />; .4e.1' At
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<br />SQ FOOTAGE
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<br />D
<br />D OTHER
<br />D STEEL D
<br />t:) It I ~7Jt{ /(I tJ F
<br />I HEIGHT I
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<br />WORK PROPOSED
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />OTHER I
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<br />DESCRIPTION OF WORK
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<br />D BUILDING 1$ ~4tJO, C/V I
<br /> ..
<br />D ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
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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 />SPECIAL TV D OTHER
<br />FLOOD ZONE AREA DYES
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<br />DNO
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<br />Ih7d,h<<. CJu/Y<.)-
<br />L...4-f Y / N I FEE CURRENT I Y / N
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<br />License # I
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<br />
<br />Y/N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
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<br />Address
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
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<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y/N
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<br />Address License #
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<br />I111I1I111111111111111111111111111111111111111111I1111I111111111II111I111111111111I11111I11111111111111I1111111111111I1111111111111111111111111111
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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/ Silt 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 />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)
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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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