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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
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<br />Owner's Name ~e.C k S V\ e Q rL I
<br />Owner's Address I ~~ 0 Q. 7 loT V\
<br />Fee Simple Titleholder Namel
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<br />PROPOSED USE
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />PARCEL ID#I
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />NEW CONSTR
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<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />PROGRESS ENERGY
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />COMPANY
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<br />BUILDER
<br />SIGNATURE
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<br />YI 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 />COMPANY
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<br />ELECTRICIAN
<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 />COMPANY
<br />REGISTERED
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<br />PLUMBER
<br />SIGNATURE
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<br />Y/N
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<br />FEE CURRENT
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<br />License #
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE
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<br />Address I
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<br />OTHER I
<br />SIGNATURE
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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 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.
<br />
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<br />License #
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<br />I ~A c ;<t / S'ICJ<?'
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />Di~~~ii~~~': . . . , , , . . I , , . I . , I , , , . I , I , I I I I , , , I I I , , , . I I . . I I , , , I I , , , . I , I , I I , , , I , . . . I I . I I , , , I I . . I I I , , I . . , , , . I , . . , I I , , . . . , I I , . . , , , . I . I I , , . . I I , , . . , , , , , , . .
<br />
<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 />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Notover Counter if on public roadways..needs ROW
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