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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 />....-
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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 />Owner's Address
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<br />F.. Slmpl. T111.hold" Nam.1 d:nD f1 ~ I ~
<br />Fee Simple Titleholder Address I
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<br />JOB ADDRESS
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<br />(: )4J,~
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<br />~
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<br />LOT #
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D DEMOLISH
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<br />OTHER
<br />STEEL
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<br />I
<br />o
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<br />OTHER I
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<br />HEIGHT I
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<br />'111'111111111"'111111"""'11111111"'1111111111'"111111111111111'111111111111111111111"'1111111'1'1111111111'1"1111111111""111111111"'"
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<br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
<br /> ~~
<br />D PLUMBING 1$ I
<br />D MECHANICAL ~;:F1NG I VALUATION OF MECHANICAL INSTALLATION
<br />D GAS D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES CJNO
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<br />11III1I111111I1 11111 11111 11111 I1111 11111 III! 11111111111111111I11111111111111111111111111111111I11111111111111111111111111111111111111111111111111
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<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 />Y/N
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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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 />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Address
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<br />MECHANICAL
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Address
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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 />RESIDENTIAL
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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 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 />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)
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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 Fences (PloUSurvey/Footage)
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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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