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<br />3-780-0020
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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's 'Name
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<br />Owner's Address
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<br />JOB ADDRESS
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<br />I
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<br />D NEW CONSTR n ADD/ALT D
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER I
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D ~ER I
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<br />DESCRIPTION OF WORK r\~~~~'e~~ (~~'\.~~t L~\~
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<br />BUILDING SIZE I ?n'X ~' I SQ FOOTAGE L\ ?ro HEIGHT I
<br />11111111111111'11'11111"11""11111"111111111'1'1111"'1111"11111""1111111'1111111111,,11111'1111111'"11111'1111'111111111111111111"1111111
<br />D BUILDING 1$ I
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<br />D ELECTRICAL 1$ I
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<br />D PLUMBING 1$ I
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<br />o MECHANICAL 1$ I
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<br />D GAS D ROOFING D SPECIALTY D OTHER
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<br />FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA DYES DNO
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<br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111I1111111111111111111111111111111111111111111111111I111I111111111111111111111111111111111
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<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 />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 />WR.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />Y/N
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<br />FEE CURRENT
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<br />Y/N
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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 />Y / N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
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<br />License #
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/ N
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<br />FEE CURRENT
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<br />Y/N
<br />
<br />Address
<br />
<br />License #
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<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
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<br />License #
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<br />COMPANY
<br />REGISTERED
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<br />OTHER
<br />SIGNATURE
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<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
<br />111111111111111
<br />RESIDENTIAL
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<br />License #
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<br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111
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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.
<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)
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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 AfC Fences (Plot/Survey/Footage)
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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