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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Date Received
<br />
<br />~~~y
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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 />DR-
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I 5C;jO JII 15-0/,111 ~
<br />12E;?#:r~ IIE/~?J'
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<br />PROPOSED USE
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<br />NEW CONSTR
<br />INSTALL
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<br />SFR
<br />BLOCK
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<br />B
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<br />PARCEL 10#1/2 .2 6" -< / vQ~O PC> 2C1O 0 ",erO'
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />SIGN D MOVE D
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<br />LOT #
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<br />SUBDIVISION
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<br />B
<br />D
<br />TYPE OF CONSTRUCTION D
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<br />DESCRIPTION OF WORK I/tv57/4LL.. ,f'IMY mAar U//L//y S/-/ED
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<br />BUILDING SIZE 8" X'/ 0 I SQ FOOTAGE I 3'0 I, I HEIGHT I 7 ~ 1/
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<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />OTHER l.s rEE~ f//E 0
<br />STEEL D OTHER I
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<br />~ BUILDING 1$...sP'?1,. 00 I
<br />D ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
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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 />o
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<br />WR.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
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<br />ONO
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<br />BUILDER
<br />SIGNATURE
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<br />
<br />~ ~ Y/N
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<br />
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br />
<br />Y/N
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<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
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<br />I
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<br />Address
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<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
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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 />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Address
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<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />License #
<br />I11111I111I1111111111I1111111111I1111111111I1111I111111I11111111111111111111111I1111111111111111111111111111111I111II1II1I11111111
<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)
<br />
<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 AlC Fences (Plot/Survey/Footage)
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<br />.~dress
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<br />RESIDENTIAL
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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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