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<br />813-780-0020
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<br />For Questions, Comments or pickup Notifications
<br />Please call Tim or Brian @ Team K5
<br />407.469.5599 Office 407.469.3499 Fax
<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />4+' 3)j- Viti?
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<br />Date Received
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<br />OWner's Address
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<br />Fee Simple Titleholder Name I
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<br />Owner Phone Number
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<br />Owner Phone Number 15' /1.
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<br />Owner Phone Number I
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<br />Owner's Name
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />(OBTAINEO FROM PROPERTY TAX NOTICE)
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />1/l..e ,01 &l C-J2
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<br />NEWCONSTR
<br />INSTALL
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<br />SFR
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<br />ADD/ALT
<br />REPAIR
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<br />COMM
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<br />FRAME
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<br />[XJ SIGN D MOVE D DEMOLISH
<br />D OTHER I
<br />D STEEL D OTHER I
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<br /> HEIGHT
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<br />PROPOSED USE
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<br />TYPE OF CONSTRUCTION
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<br />BLOCK
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<br />DESCRIPTION OF WORK
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<br />3
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<br />W , '1dOWI
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<br />sa FOOTAGE I
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<br />BUILDING SIZE
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<br />~ BUILDING 1$ /; :JLI8 I VALUATION OF TOT AL CONSTRUCTION
<br />D ELECTRICAL 1$ , AMP SERVICE 0 PROGRESS ENERGY 0 WREC.
<br /> t0OC- tJ)A
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
<br />D GAS D ROOFING 0 SPECIAL TV D OTHER
<br />FINISHED FLOOR ELEVATIONS I r FLOOD ZONE AREA DYES ONO
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<br />BUILDER COMPANY
<br />SIGNATURE REGISTERED YI N FEE CURRENT ~
<br />Add ress License #
<br />ELECTRICIAN I COMPANY
<br />SIGNATURE REGISTERED YI N FEE CURRENT ~
<br />Address I License #
<br />PLUMBER I COMPANY
<br />SIGNATURE REGISTERED ~ FEE CURRENT ~
<br />Address I License #
<br />MECHANICAL I COMPANY
<br />SIGNATURE REGISTERED YI N FEE CURRENT ~ &
<br />Address
<br /> {pO,
<br />OTHER
<br />SIGNATURE
<br />Address
<br />
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<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) \fo.IOrking days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br />All commercial requirements must meet compliance
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
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<br />Directions:
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500, a Notice of Com mencement is required. (A/C upgrades over $5000)
<br />
<br />Agent (for the contrac~or) or Povver of Attorney (for the o'Mler) would be someone vvith notarized letter from owner authorizing same
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<br />OVER THE COUNTER. ,PER.IYIITTI.NA.... {FJonl~A~ Only)
<br />Reroofs Se",~ i'iA,),Jtltvu. Upgqdes : AlC
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<br />Driveways.Not overCounter ff on public roadways..I~e~s ROW
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<br />Fences (PloVSurvey/Footage)
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