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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 ReceiveCl
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<br />Owner's Name
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<br />Owner'sAddress L3J & Ash lOJ\.o\Dr'\ ye
<br />Fee Simple Titleholder Namel
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<br />Owner Phone Number I
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<br />Owner Phone Number I
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<br />.# JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I -=1-\ ~~
<br />I
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<br />f\~h )o.X\.C\
<br />I
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<br />D NEWCONSTR CJ ADD/ALT D
<br />D INSTALL CJ REPAIR
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<br />PROPOSED USE D SFR D COMM D
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<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
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<br />- DESCRIPTION OF WORK I \(\.~'TC\. \\Cl,"",,~ J; Wd '\=e(\Ce...
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<br />BUiLDING SIZE I SQ FOO';:GE I 2...00 I HEIGHT
<br />'111111'.' 1111'" 1111"" ,,1.,," 'II III '1111' r 1111"" I111 ,." 111".'" 1111 r, 1IIIInll'III.II.,' 111"11111111111' 1111111111111111111111" I1111111
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<br />:=rS-O. 99
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<br />U-~lVe.
<br />PARCEL 10#1
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<br />lOT #
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<br />-oS 2"5..2\ . 0050 .O(x~'02\()
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<br />SUBDIVISION
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />OTHER
<br />STEEL
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<br />OTHER I
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<br />o
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<br />MECHANICAL
<br />SIGNATURE
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<br />/' 1$
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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 D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />11111 11111 11111 11111 11111 11111 11111 III I! 1111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I1111111111
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<br />:~~~~~~~ ~ I ;.~:~~: I r~~"'16A'%~';~.r. VIN I
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<br />Address '_ License # I
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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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 />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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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 />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
<br />REGISTERED
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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 />OTHER
<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
<br />111111111111111
<br />RESIDENTIAL
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<br />License #
<br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />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 onsile, 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 />DI~~~t;~~~': ' , , , , . , . , , , , . , , , , , , . , , , , , , , , , . . . , . . , , . , , , , , . . , . , , , . , , , , , , . , , , , , . . , . , , , , , , , , , , , , , . . . . , , , . , , , , , , , , , , , . . , , , , , , , , . , , , , . . , , , , , , , , . , . , . , , . , . ,
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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 (PloVSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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