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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 />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 .5b\,rn-\ ?ftS(..b tlth,'7?lLW 'flU> fY--11 b I "-'"t -
<br />Owner's Address 15 iJz5D A AoJt zt.Jrl'ittll1 u....S
<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />.s/QG.s;D
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<br />A Ii" rc
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<br />Z- t:...( Hi t HILLS
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<br />PARCELlD#I/'-l U V DD J DD J3 ODD D) D
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
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<br />LOT #
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<br />o NEW CONSTR D
<br />D INSTALL D
<br />DSFR 0
<br />o BLOCK 0
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<br />o OTHER
<br />o STEEL D
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />DEMOLISH
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />OTHER I
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<br />DESCRIPTION OF WORK
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<br />~')"'"'6''D
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<br />l-t" ut'\ \:
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<br />BUILDING SIZE sa FOOTAGE 13$00 I HEIGHT I I
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />D BUILDING 1$ Ib, 000
<br />D ELECTRICAL 1$
<br />D PLUMBING 1$
<br />D MECHANICAL 1$
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<br />AMP SERVICE
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<br />o
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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 />D GAS ~ ROOFING 0 SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
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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 />Address
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<br />License #
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />License #
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<br />MECHANICAL
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address I License #
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<br />Address I License #
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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 wI 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 wI 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 />COMMERCIAL
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<br />SIGN PERMIT
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<br />jji~~~ti~~~': ' , , , , , , . . , , , , , , , , , . , , , , , , , . , , . . , , , , , , . , , , , , , , , . . , , , , . , , . , . . . , , , , , . . , , . , , , , , , , . , , . , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . . , . , , , , , , . , , , , , , , , . 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 AlC Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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