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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 />I PARCEL ID#1 Ji... cJ.fp - :2-1- DDI ().- OCJ ftJO - 0/3 () I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE 0
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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 Titleholder Address I
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<br />'-I'13{)
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<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />D NEW CONSTR D ADD/ALT ~
<br />D INSTALL D REPAIR
<br />PROPOSED USE 0 SFR 0 COMM 0 OTHER
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0
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<br />DESCRIPTION OF WORK I t€efJ/Me h/4/--/u.;} ;j1J_~;;d"<; WindMJ3 (0-.)
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<br />BUILDING SIZE I I sa FOOTAGE I/q()c) I HEIGHT I tilCl' ~ II
<br />1111'1"'11'111'1'1.11'111111'1'1111'111"."1111'11111'1111111111111111111'1111111"11111111'111111'11111111"1.111"'.."'1111111111111111111111
<br />1$ .sM'~
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<br />1$
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<br />1$
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<br />D MECHANICAL 1$
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<br />D GAS c=J
<br />FINISHED FLOOR ELEVATIONS 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 />D
<br />D
<br />D
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<br />I
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<br />SPECIALTY 0
<br />FLOOD ZONE AREA
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<br />DEMOLISH
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<br />OTHER I
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
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<br />ELECTRICAL
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<br />AMP SERVICE
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<br />PLUMBING
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<br />o
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<br />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />License #
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<br />111111111111111111111111111111111111111111111I11111111111111111111I11111111111II111111I111111111111111111111111111II11I1II1I11111I
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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 />ROOFING
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<br />BUILDER
<br />SIGNATURE
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
<br />
<br />Address
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
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<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
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<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />111111111111111
<br />RESIDENTIAL
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />y~11 ~""ENT
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<br />License # I
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<br />Y/N
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<br />Y/N
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<br />Y/N
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<br />FEE CURRENT
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<br />License #
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<br />Y / N
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<br />Y/N
<br />
<br />FEE CURRENT
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<br />License #
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<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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<br />License #
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<br />Y / N
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<br />Y/N
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<br />FEE CURRENT
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<br />DI~~~ti~~~': I , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , I 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)
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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 />Driveways-Not over Counter if on public roadways..needs ROW
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