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<br />813-780-0020
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<br />Owner's Name
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<br />Date Received .
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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 />D~ .
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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 />T;A1b~,( f/Wt OA.
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<br />"2-t Phnt...h,fI FC.
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<br />I PARCEL ID#I {'f - 2~, #-)-1 - 00(0 - LJ /500 -- OOi ()..)I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />n NEWCONSTR c=J ADD/ALT D SIGN D MOVE D
<br />D INSTALL c=J REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER I
<br />TYPE OF CONSTAUCTI~N D BLOCK D FRAME D STEEL D
<br />~ll'ncll ~r /~.d..:z.~d1 ~4'J.. r~Y~ ~.;.,,--:r:;Nr.
<br />DESCRIPTION OF WORK ;YY " r,e;;;f v .... ~.A- r~ ,; ~ y:;",p I ~ ~~J
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<br />BUILDING SIZE SQ FOOTAGE I -Ii /)"' (SOt) I HEIGHT I I
<br />1111'1111111111111111111111'1'111'111"1"'-"11111111111111111"'1"""1""'11111111111'11111111'11111"1"'111"11111111111111111'11111111111'
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<br />JOB ADDRESS
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<br />'1".-
<br />J (.
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<br />SUBDIVISION
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<br />LOT #
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<br />WORK PROPOSED
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<br />I$)"~
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<br />D ELECTRICAL 1$
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<br />D PLUMBING 1$
<br />D MECHANICAL 1$
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<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
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<br />D
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<br />BUILDING
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<br />BUILDER
<br />SIGNATURE
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<br />O.;)u ~ U.{)
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<br />ROOFING
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<br />Address
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<br />J
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<br />DEMOLISH
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<br />OTHER I
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<br />I
<br />I
<br />I
<br />I
<br />D
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<br />VALUATION OF TOTAL CONSTRUCTION. J\
<br />.\-\::LJ~ Sui\~al
<br />AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
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<br />\.J~'})O ~ E>",.~ l5~o ~~
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<br />ll/<f;7A-s B~ \2a ~
<br />VALUATION OF MECHANICAL INSTALLATION NO C ...@; (' \~ .
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<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
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<br />DNO
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<br />f~~N f {C..
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<br />COMPANY I .("i .4\~.M t-''I^'''~J
<br />REGISTERED I Y / N T FEE CURRENT
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<br />~~~V'<~W ,~\u.' \c!.-htense#
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<br />I ~::':~:R~~ I Y / N FEE CURRENT
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<br />ELECTRICIAN
<br />SIGNATURE
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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 / N
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<br />FEE CURRENT
<br />
<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 />FEE CURRENT
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<br />Y/N
<br />
<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
<br />
<br />Y/ N
<br />
<br />Y/N
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<br />FEE CURRENT
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<br />Address
<br />111111111111111
<br />RESIDENTIAL
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<br />License #
<br />1111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 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 onsite, 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.
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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. (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 (Plot/Survey/Footage)
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Driveways-Not over Counter If on public roadways..needs ROW
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