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<br />813-780-0020
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Date Received
<br />
<br />Owner's Address
<br />
<br />Fee Simple Titleholder Namel
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<br />OWner Phone Number
<br />
<br />Owner Phone Number l
<br />
<br />Owner Phone Number r
<br />
<br />Owner's Name
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />~ LOT# I
<br />If, ZIP - 21- aJl ~- 'Z/f/tllJ - OIV-5
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />c=J SIGN 0 MOVE c=J
<br />
<br />c=J
<br />o
<br />
<br />JOB ADDRESS
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />
<br />PROPOSED USE [g]
<br />TYPE OF CONSTRUCTION c=J
<br />
<br />DESCRIPTION OF WORK I ~~
<br />
<br />BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I
<br />TIlllll'IIII'II"llIII'II'I'IIIII'I"II'III'II'II'III'11'11'11111'11'11'11'11"1111'11;11'1111'11'11'11111'11'1111111111'11'1'111'11'1111'111'11'1
<br />
<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br />DEMOLISH
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />
<br />BLOCK
<br />
<br />OTHER I ~.rIh~
<br />STEEL DOER I
<br />
<br />D BUILDING 1$ lot yO .00
<br />
<br />D ELECTRICAL 1$
<br />
<br />D PLUMBING 1$
<br />
<br />D MECHANICAL 1$
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<br />c=J GAS c=J
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />SPECIALTY c=J
<br />FLOOD ZONE AREA
<br />
<br />OTHER
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<br />DYES
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<br />DNO
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<br />I ~ Wi- ouJY1.eJ/-
<br />(Vy / N I FEE CURRENT
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<br />License # I
<br />
<br />Y/N
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<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
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I License #
<br />1111111I1111111111111111111111111111111111111111111111111I11111111111111111II1111111111I11111I111111111I11111111111111111111111111111111I111111111
<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 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 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/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />DI~~~i:j~~~':' , , , , , . . , , , . . , , . . , , , , , , , . , . , , , , , , , . , , , , . . , , , , . , , , . . , , , . . , , , . . , . , , , , . . , , , , . . , , , , , . . , , , . , . , , , , , , , , . , , . . . , , , , , , , , . . , , , , , , , , , , , , , , , , , , , , , , ,
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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
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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