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<br />I I
<br />8'13-78CJ-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 />111......11
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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 />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 Namel-
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<br />Fee Simple Titleho~der Address 1-
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<br />JOB ADDRESS . I '3 B ~ \ l\
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<br />1-
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<br />WORKPROPOSEq B ~~~A~~NSTR ~ ~~~~~T
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<br />PROPOSED USE D SFR D COMM
<br />TYPE OF CONSTR~CTION I2SJ BLOCK D FRAME
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<br />DESCRIPTION OF ~ORK I 1 00 s l' ~t.. AD\) \ T \D ~
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<br />~ BUILDIN$ 1$ 0 I VALUATION OF TOTAL CONSTRUCTION
<br />101 bC> .
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<br />D ELECTRI~AL 1$ I
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<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I
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<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />BUILDER ~ ~V"\. . 0 ^ ~ -\- (' L\....t.i-+ ~ n
<br />SIGNATURE FEE CURRENT Y / N
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<br />~ ( t-'~ A~e,
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<br />LOT #
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<br />SUBDIVISION
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<br />PARCEL ID#I \ \ - ~ , - ~ \ - 0 0 \ 0 -'0 '""\1 00- 0 \ 0(.)
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />IT!
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<br />DEMOLISH
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<br />OTHER I
<br />STEEL D
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<br />OTHER I
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<br />AMP SERVICE
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<br />[X]
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<br />PROGRESS ENERGY
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<br />Noc/
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<br />W.R.E.C,
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />NOT
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<br />\-\,s-h.,<, c. ../
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<br />Address
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<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />M~r+\\',^ E \~~~r\'C
<br />ICY/ N I FEE CURRENT 1['0/ N T
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<br />License # I
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />
<br />Address
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<br />Address
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<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />OTHER
<br />SIGNA lURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
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<br />License #
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<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br />I All commercial requirements must meet compliance.
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />11I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />Directions:
<br />Fill out applicati n completely.
<br />Owner & Contr ctor sign back of application, notarized
<br />If over $2500, Notice of Commencement is required, (AlC upgrades over $5000)
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<br />Agent (for the c ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNT R PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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