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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 />c::....
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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 />j Owner's Name
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<br />/ Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />I JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I :3<?1~ 7
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<br />I LOT# I
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />I SQ FOO~AGE I
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<br />NEW CONSTR
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<br />SFR
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<br />DEMOLISH
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />OTHER
<br />STEEL
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<br />D
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<br />OTHER I
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<br />I DESCRIPTION OF WORK
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<br />BUILDING SIZE
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<br />HEIGHT I
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<br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
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<br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
<br />0 PLUMBING 1$ I
<br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
<br />0 GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />BUILDER
<br />/ SIGNATURE
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<br />Address 137"2.0 2.... tJ '11 ~ ~ ~~
<br />ELECTRICIAN I
<br />SIGNATURE .
<br />Address I
<br />PLUMBER I
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />c//JIr il335l-L
<br />I COMPANY I
<br />REGISTERED
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<br />License #
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<br />I S~77 z:-
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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 />License #
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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
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<br />COMMERCIAL
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />Address I License #
<br />111111II1111I1111I1111I1111111I111111111111111I111111I1111111II1111I11111I11111I11111111111111111111111111111111111II11111111111111111111111111111
<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 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.
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<br />License #
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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
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<br />License #
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<br />COMPANY
<br />REGISTERED
<br />
<br />YI N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />SIGN PERMIT
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<br />DI~~~ii~~~':' , . , , , , . . , , , . . , , , , . , , , . . . , , . . . . , , , , . . . , . . . , , , . . , , , , . , . . . . . . . , , , . . , . . , . , . . , , , . . , . , . . . . . , , , . . . . . , , . , , , , , , . . . . . , , . , . , . . . . . . , . . . . , , . , . . , . . ,
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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. (Ale 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 (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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