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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 />Owner Phone Number <tl~.:'l ~ ~ \l2:J
<br />Owner Phone Number I
<br />Owner Phone Number I
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<br />Owner's Name
<br />
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<br />s - '30 -- 0
<br />~hlr~ ~~ 5
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<br />
<br />Date Received
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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
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<br />JOB ADDRESS
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<br />3'~ 5 :::0
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<br />~ A0t i -Ze.ph~<\"\I'lls ~ L
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<br />I PARCELlD#1
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<br />D NEW CONSTR D ADD/ALT D
<br />D INSTALL D REPAIR
<br />D SFR D COMM D
<br />D BLOCK D FRAME D
<br />
<br />I (n~-QJ\C\.i{Dl'-.. cl ~ I r€ Q\Of (Y\. ~ ~~
<br />
<br />I sa FOOTAGE I I HEIGHT
<br />
<br />LOT #
<br />
<br />SUBDIVISION
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />OTHER I
<br />STEEL D
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<br />OTHER I
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<br />DESCRIPTION OF WORK
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<br />I
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<br />I I I I I I , , 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 , , 1 . . I I I I I I I , I I I I I I I I I I I , , I . I I I I I 1 I , I I I r . I I I I I I f I I t I , I I I I I , I I , , I I I I I I , I I I I I 1 . I , I 1 . I I I I I , , I I I I I , ~ I I I I I ,
<br />
<br />BUILDING SIZE
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<br />1$ i \3t5,7Y I
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<br />D ELECTRICAL 1$ I
<br />
<br />D PLUMBING 1$ 1
<br />
<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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />
<br />D
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
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<br />D
<br />1'06e: - 01 A
<br />~Gt':\-b j~'~
<br />
<br />W.R.E.C,
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />
<br />License # I I
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<br />License # I E F .. CCf:) \O~lo I
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<br />YI N
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<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />Address
<br />
<br />License #
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YIN
<br />
<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />Address
<br />
<br />License #
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YIN
<br />
<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />Address
<br />
<br />License #
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<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 wI 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, Storm water Plans wI 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~~~ti~~~': . . , , , , , , . , . , . , , , . , , , , , , , , , , , , . . , , , , , , . , , , , , , . , , , , , , , . , . , , , , , , , . , , , . . , , , . . , . . . , , . , . , , , . , . . . . . , , , , . , . . , . , . , , , , , , . , , . , , , . , , , . , , , . , . , , , , , , ,
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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 wilh 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 (PloVSurvey/Footage)
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<br />RESIDENTIAL
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<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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