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<br />Date Received
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<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />813-780-0020
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<br />7 g~ I (
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<br />~ <) /J-v~
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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 />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 />Fee Simple Tltlehold.. Add.... ~
<br />JOB ADDRESS I 2> S
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<br />( I
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<br />LOT #
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<br />PARCEL ID# I
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
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<br />BLOCK
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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 />OTHER
<br />STEEL
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<br />I
<br />D
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<br />OTHER I
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<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
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<br />1$ I
<br />1$ I
<br />1$ I
<br />1$ 36{)V-~-" 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 />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1I11111111111111111111111111111111111111111111I1I111111111I111111111111111111111111111111111
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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 />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />BUILDER COMPANY
<br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N
<br />Address License #
<br />ELECTRICIAN I COMPANY
<br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
<br />Address I License #
<br />PLUMBER I COMPANY
<br />SIGNATURE REGISTERED Y I N FEE CURRENT Y/N
<br />Address I License #
<br />MECHANICAL (//V $ ~ L~{r~ f!tL-~
<br />SIGNATURE -- Y I N I FEE CURRENT I Y I N
<br />Address License # I IScZ...
<br />OTHER COMPANY
<br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
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<br />Address License #
<br />11111111111111111111111111111111111II11111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 subdivisionsllarge projects
<br />COMMERCIAL 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 wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. 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 />DI~~~ii~~~':' , , , , . , . , . , . I , , , I . , , , I I , . , I I , . , , . . I , , . , I , . I . . . I I I , , I I , . , . . I I I , , , I I I I , I . . , , I I I I I , . . I I , , , . I I I I I I I , , , , , , I . , I I , . , . . . I . . 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 A1C Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadwaysuneeds ROW
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