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<br />I
<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 />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner's Name
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<br />Zepj~Jrhl~ H < '?3S~A I LOT #
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<br />I PARCELlD#I/t./ - f){'-:ll-{)D/D - ('){)ltDO - DJ ~[)
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />NEW CONSTR D ADD/ALT 0 SIGN D MOVE 0
<br />INSTALL D REPAIR
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<br />PROPOSED USE SFR D COMM OTHER
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<br />TYPE OF CONSTRUCTION BLOCK ~ FRAME STEEL OTHER I
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<br />DESCRIPTION OF WORK t) r:eHclt ' l1l/! .5 t,r 4 cc..eS.:S ,
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<br />
<br />BUILDING SIZE I I SQ FOOTAGE HEIGHT I I
<br />TII' 111I ' II fTT1TlTTVI ' , I11I11111111 , 11111111 ' II1111 , , 1111 , 11111 , II111 ' II11 , 1111111 ' 111111111 ' I111 ' , III , I ' , 111I ' . I111 ' III . , III ' 11III , r ' III , I11111 , I
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />D
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<br />1$ c1 otJtJ. PEJ I
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<br />D ELECTRICAL 1$ I
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<br />D PLUMBIN(3 1$ I
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<br />D MECHANICAL 1$ I
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<br />D GAS 0 ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I1111111I11111111111I11111
<br />
<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 />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY 0
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<br />OTHER
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<br />BUILDER
<br />SIGNATURE
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<br />\k \4~ l1-e;O
<br />S1.
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<br />
<br />}I~O~
<br />I Y / N I FEE CURRENT
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<br />Y/N
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<br />Address
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<br />License #
<br />
<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
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<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />111111111111111
<br />RESIDENTIAL
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<br />License #
<br />11111111111'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
<br />I. 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 />COMMERCIAL
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<br />SIGN PERMIT
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<br />Di~~~ti~~~':' , , , , . . , I , , , , , I , , , I , , , , I , . . , , , . , , , , , , , , , , I , . , , , . , , , , , , , I , , , , , , , . . . , I . . . , I , , . . , , , . , '. ' , , , , , , , , , , . . , , , , , . , , , . . , , , , . I . , , . . , , . , I . . . , I , , . , . I ,
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<br />Fill out applica~ion completely.
<br />Owner & Contractor sign back of application, notarized
<br />If ovef $2500, ~ Ndtice of Commencement is required. (AlC upgrades over $5000)
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<br />Agent (fof the ~ontriactor) 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 Selwers 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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