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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Owner's Name
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<br />D ~() -Dr
<br />~ -I
<br />Owner'sAddress 1.5"6 z! /l,tihck. (I: ?-IIJllf J3'f'l! 2-
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<br />Fee Simple Titleholder Namel '
<br />
<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 />Fee Simple Titleholder Address I
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<br />I ( h.J/h,f
<br />I
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />ttuF10if 4clt/ rdS
<br />
<br />I PARCEL 1D#11.:3---a.Co -01 - 00"60
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D ADO/ALT D SIGN 0 MOVE D
<br />D REPAIR
<br />D COMM D
<br />D FRAME D
<br />
<br />Jill!,,] I dt-"n r K I: .7 Lf;
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<br />I SQ FOOTAGE _ \ q (,. -. HEIGHT
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<br />LOT #
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<br />JOB ADDRESS
<br />
<br />CJ
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<br />SUBDIVISION
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<br />DESCRIPTION OF WORK
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<br />B
<br />D
<br />D
<br />I Ft'nCk!
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />OTHER I nll1~ :Ln~ II
<br />STEEL D OTHER I
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<br />BUILDING SIZE
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<br />II I , . I I , , , 11 , , I II I I . I I I I . I I , , I I I , I I , , I 1 I I I , , I I I , , I . I , ~ I . I I , I I I , I I II II I I I . . I I I . I II , . II , . . II I I I I , , I I , I II , , , . . I I , I II , II I . . , I I I I I , . . I I , r I I r I II I I II I I . ,
<br />
<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
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<br />1$ I
<br />1$ I
<br />1$ I
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<br />1$ I VALUATION OF MECHANICAL INSTALLATI~~_~_._.
<br />
<br />D GAS D ROOFING D SPECIALTY ~ OTHER (~() '" 9. 68 ') I"
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES UNO'
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<br />11I111111111111111111111111111I111I11111111111111111111I1111111111111111111111I1111I11111111111111111111111111111111111111111111111111111111111111
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
<br />
<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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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
<br />
<br />Y/N
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<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />License #
<br />
<br />Address
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<br />Ilaf7J{A ;;:;1U j;C.
<br />I @ N ' f....... J FEE CURRENT
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<br />License # I
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<br />(();/N
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<br />OTHER
<br />SIGNATURE
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<br />
<br />
<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 onsile, 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 />Di~~~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)
<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 />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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