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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 />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 />DatI Received
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<br />
<br />s+?
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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 />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />Ilocf~ "3 o!f 6 Pc..I/
<br />lbRf~~
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<br />m~.JL J/~ L~ LOT# I
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<br />PARCELlD#1 O:(-.;J."fc-2../ - 0:170 - DOOD{) - Of) f 0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />I
<br />
<br />I
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<br />E3 NEW CONSTR ~ ADD/JL:T)
<br />INSTALL t=1 REP~
<br />PROPOSED USE D SFR czr COMM
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME
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<br />DESCRIPTION OF WORK I ;t;4-e-r; 0 "'" R~---e
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<br />BUILDING SIZE I/<DD I X ~ L/' I SQ FOOTAGE 15* & ~ HEIGHT I
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<br />[Ef'" '~~,~;~~ ' , ." , , . 'j;' . ~'~ · ~:'~' " ..",. , , i ' ., . . ~;:~;~:~~ '~; ;~~~~ ~~~~~~~;;:,~~' . , , ' , , , , , , , " , "" , . , , , ' , , , , , , , , ' , , , , , , · ,
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<br />~ ELECTRICAL 1$ I Af;1P ~ERVI~E ~ PROGRESS ENERGY
<br />.---./ . 5, 0 00 . ~tS,.., "'ll
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<br />4LJ PLUMBING 1$ .b:. OOD I
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<br />1$ I
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<br />o ROOFING D
<br />
<br />I
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<br />SUBDIVISION
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<br />WORK PROPOSED
<br />
<br />D
<br />D
<br />D
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<br />DEMOLISH
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<br />OTHER I
<br />STEEL D
<br />
<br />OTHER I
<br />
<br />D
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<br />W.R.E.C.
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<br />MECHANICAL
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />~G
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<br />o
<br />o
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<br />SPECIALTY D
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<br />FLOOD ZONE AREA
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<br />OTHER
<br />DYES
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<br />DNO
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<br />
<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />Address
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<br />License #
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<br />PLUMBER
<br />SIGNATURE
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<br />Addressrl~ License # I
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<br />MECHANICAL II COMPANY I
<br />SIGNATURE . . REGISTERED Y I N FEE CURRENT Y I N
<br />
<br />Address I. License # I
<br />
<br />OTHER I COMPANY I
<br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N
<br />
<br />Address I License # I I
<br />111I1111111I11I11111III1I1I1I1111I1111111111111111111111I111111111111111I11111I11I11111111111111111111111111111111111111111111111111111111111.11111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) 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 />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 />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />111/1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />Directions:
<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
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades NC
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Fences (PloUSurvey/Footage)
<br />
<br />~~>~.
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<br />Driveways-Not over Counter if on public roadways,.needs ROW
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