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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 />/etJ5t,"
<br />~tJ.. Ave
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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 />/JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />139~32
<br />I
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<br />c-a- 1-4 A"e
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<br />LOT #
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<br />/0 BUILDING
<br />0 ELECTRICAL
<br />0 PLUMBING
<br />0 MECHANICAL
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<br />I
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<br />D NEWCONSTR E3 ADD/ALT
<br />D INSTALL REPAIR
<br />PROPOSED USE D SFR D COMM
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME
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<br />/" DESCRIPTION OF WORK I c; FeeT C hCl11l 1(/1 JC. Ft'nc (
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<br />BUILDING SIZE I SQ FOOT~E I 30 & F'r HEIGHT I
<br />1111111111111111111111111'1111111"1"1111111111"""'11111'11"'11111111111111111111111111111111111111111111I11111111111111111111111111111111111
<br />1$ ;) rOO
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<br />1$
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<br />1$
<br />
<br />1$
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<br />o GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA DYES DNO
<br />
<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIII11I111I11111111111111111II11111111111111111111111111111I11111111111111111111111111111111111
<br />
<br />PARCE~#I /1.. -1'- ').1 . 03/0 - OOOCJO
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />SUBDIVISION
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<br />- O? ~o
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<br />WORK PROPOSED
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<br />D
<br />D
<br />D
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<br />DEMOLISH
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<br />OTHER
<br />STEEL
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<br />I
<br />D
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<br />OTHER I
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />WR.E,C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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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
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />Address
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />License # I
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<br />OTHER '4ARO Fe/7c.~ Jnc
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<br />,/ SIGNATURE Y / N I FEE CURRENT I Y / N
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<br />Address 33 q'c I/~ r(.,~ . \ f~ 51/ 13 License # I
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<br />111111111I1111I111111111I11111111111111I11111111111111Illmllllllllllllllllllllllllllllllllllllllllllllll!1111111111111111111I111I111111111111111
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<br />RESIDENTIAL 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 subdivisionsllarge 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.
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<br />Address
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<br />
<br />COMMERCIAL
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<br />SIGN PERMIT
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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 NC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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