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<br />813-780-0020
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<br />City of Zephyrhills Permit Application , Fax-813-780-0021
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<br />Date Received
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<br />Owner's Name
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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 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 />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />13-dLo -J.\- O\cn-C::EXXiJ-OCJJrD
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />o SIGN D MOVE 0
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<br />o OTHER
<br />o STEEL D
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<br />W / d u...~~U:){J Rk:..
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<br />I HEIGHT I
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
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<br />6\Ull ,J~ l)F .
<br />I PARCEL 10#1
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<br />sa FOOTAGE I
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<br />SUBDIVISION
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<br />DESCRIPTION OF WORK
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<br />E3
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<br />DEMOLISH
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<br />OTHER I
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<br />BUILDING SIZE
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<br />1$
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<br />1$
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<br />1$
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<br />;zr- MECHANICAL 1$ U \..cso
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<br />c=J GAS 0
<br />FINISHED FLOOR ELEVATIONS I
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<br />ROOFING
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />W.R.E.C.
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />ELECTRICAL
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<br />PLUMBING
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<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY 0 OTHER
<br />FLOOD ZONE AREA DYES
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />Address License # I
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<br />MECHANICAL I Y L ^ ~ I. I COMPANY A cC U- A'(' CoN ct l~-!r 'Wi rJ D I
<br />SIGNATURE ~ _1::i..t . _______ REGISTERED I Y / N I FEE CURRENT I Y / N I
<br />Address I. 3 m\ (l "R po eu,':::P r -V L :-rilinjhJ;3 '3LP Iq u"o". I c.A (' o~
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<br />Address I I License # I I
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<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.
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
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<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<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)
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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 AlC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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