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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 />
<br />.-is
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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 Titleholder Address
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<br />JOB ADDRESS
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<br />b ~ /f' 5"
<br />
<br />7" a IN . p..9./
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<br />PARCELlD#1 0& - d.W -;2.\ - Dd'O - OOC:C...;:CJ.- (2. '-1 f
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />LOT #
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<br />I
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<br />D NEW CONSTR D ADD/ALT D
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER I
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D
<br />I /J_/~ C /t a ,IV~ ~/ / .z. _L-....,....
<br />DESCRIPTION OF WORK . .rr- L.!::- L/ ~ J"1 (...>-2.......!
<br />
<br />BUILDING SIZE I / I SQ FOOTAGE I HEIGHT I
<br />111111111111111111111111111111111"'1111111"111111111'1"'1111'1111111111'11111111111111111111111111111111111111111111111'11"'111111111111111111
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />OTHER I
<br />
<br />OTHER
<br />SIGNATURE
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<br />1$ I
<br />1$ I
<br />1$ I
<br />1$ is '7 D. cJU I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
<br />
<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
<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 />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />
<br />License # I
<br />
<br />11~S;h ~~t;;;f' ft:-rL
<br />
<br />License # I / ,~.::.z..
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
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<br />Address License #
<br />111111111111111111111111I111111111I11I11111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllll111111111111111I11111111111111111111I1
<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 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 onsile, 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 />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. (A1C 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 />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadwaysooneeds ROW
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