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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's Name CI-If? fS'70fWG/f!.. 2A/J 'oS
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<br />Owner's Address I 56 fJ I ~T' sr:
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<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address I
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<br />SUBDIVISION
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<br />I LOT# I
<br />I PARCEL ID#I /0 - ~y... 2/- oot O-~' <!01J - 0 (j I D
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />M NEWCONSTR c=:::l.-- ADDIALT D SIGN D MOVE D
<br />D INSTALL ~ REPAIR
<br />D SFR ~ COMM D OTHER
<br />o BLOCK D FRAME D STEEL D
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<br />I Flee?;)1~A6eD I~l//l-T::> 7R.I-PL~
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<br />I SQ FOOTAGE I I HEIGHT I
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<br />JOB ADDRESS
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<br />WORK PROPOSED
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<br />DEMOLISH
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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 />BUILDING SIZE
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<br />D
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<br />1$ /0/0$0.00
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<br />D ELECTRICAL 1$
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<br />D PLUMBING 1$
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<br />D MECHANICAL 1$
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<br />D GAS c=J
<br />FINISHED FLOOR ELEVATIONS I
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<br />ROOFING
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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 />W.R.E.C.
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />COMPANY
<br />REGISTERED
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<br />License #
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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 />ELECTRICIAN I ~t... It-.
<br />SIGNATURE ~~\J~~
<br />Address ~.0,~i){ ~b~ "2-~~~l ~L
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<br />Address I 381tf4 CR St/ e.
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<br />MECHANICAL I LP:
<br />SIGNATURE ~
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<br />Address I LlCfl2 Ip1/J ~.
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<br />OTHER I
<br />SIGNATURE
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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 con&truction,
<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 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 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 />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />COMPANY
<br />REGISTERED
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<br />FEE CURRENT
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Di~~~ti~~~':' , , . . . I , , . , , , . . , , . . , . . . . I , I , . . , , . , , . I . . . . . , . . I I . I . I . . . . . . . , , , . . . . . . , . . . , , , . . , , . . . , , , . . . . . , " . , , I I , . . , . , , , , . . . I 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 NC Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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