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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 />Date Received
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<br />Owner's Name c9.-Y' (:) B ,e~ - - , _ r\-I 1\ D
<br />Owner'sAddress I ~loL4S G,.-~ "5\O~~' i35~\
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<br />Fee Simple Titleholder Namel I
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<br />Fee Simple Titleholder Address I
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<br />I 3 7 14~ rJe-LI !(o.'Y)
<br />I~ +-be) LI.)rlS
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<br />SUBDIVISION
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<br />fk-e. I LOU I3()(J :
<br />PARCELID#~-a5...f)I" oI80-cam" g()(T) I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
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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 />JOB ADDRESS
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<br />D NEW CONSTR r=:J
<br />~ INSTALL D
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<br />PROPOSED USE [KJ SFR D
<br />TYPE OF CONSTRUCTION 0 BLOCK D
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<br />DESCRIPTION OF WORK I \'<\ On\ ~ \~~ '::>e...* - u....p
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<br />BUILDING SIZE 1.3 a 'L y ~ I SQ FOOTAGE II ':) 3ll:> HEIGHT I
<br />TIfTl"TITTTTT'T't' 1111111111111111 r '111\' 111'1'1111111111111' '1111111' 111111111' '1111111111" 111\ t 1111111111111111111111111" 1111' 11111111' 111111
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<br />WORK PROPOSED
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />o
<br />o
<br />o
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<br />DEMOLISH
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<br />OTHER 1\"0)1 \fl_ \""'O\'f"\P ---I
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<br />OTHER
<br />STEEL
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<br />D
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<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
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<br />1$ ~DO, 00 I
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<br />1$ lp 'So ,00 I
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<br />1$ 700.00 I
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<br />D GAS D ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES QONO
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<br />::::~~~~RE Idk()<?i:o~ I ~~~~"= I ~<J!~I ~j/~
<br />Address 13>1~~?; 0\-fJI'n 1+ t?Q\. Z-H-lJ\3~ 3~WO License # l:rr+-ffiY)7~
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<br />Address lc.1qo3~ ~ ~. ?~f+1 \\3 33Sl\P Llcense# ~. ('fYYYT1L[l
<br />I CJ).' "'~ ~ """'~^ A I COMPANY I ACe." 1+, \' or- €J ~+rl C' J I
<br />:I~~~~~I~:L ~ DJ-)\~'- REGISTERED I Y / N I FEE CURRENT I Y / N I
<br />Address ft:;r~ \A) me (nOn nJ ~ \ 1 d. ) ~kh ndl License # Ie J4C..07:>9\ [5 5 I
<br />~~HN"';'RE I I ;~~:.: Y I N FEH"RRE"' Y I N I
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<br />Address I License # I
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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 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 on site, 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 />I$Ll JDOD,QO
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C,
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<br />~OL
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<br />VALUATION OF MECHANICAL INSTALLATION
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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 . , , . , , , , . . . , , , , . .
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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 A/C
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<br />Drivew~ bVtt'lCounter i on pu . dways..needs ROW
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<br />Fences (PloUSurvey/Footage)
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