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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 ~r.r)
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<br />Date Received
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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 />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 />Fee Simple Titleholder Address I
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<br />I PARCEL ID#/ \ ~ -~c.o. do. \ . bOlfD ~ D6J)CV.. 063C-=,
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEWCONSTR c=J ADD/ALT D SIGN D MOVE 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
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<br />DESCRIPTION OF WORK I /I- / c c /.." />-C <7 g;0:L.
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<br />BUILDING SIZE I ~ SO FOOTAGE I '" --1- -HEIGHT I
<br />"1"'11""'1"'11"'1"""11"'111'11'1"1'1""1"'11"111""'1'111""11"'1"'1"11'1111"'11'1"""11111111111""'1'1111111"1"11111111
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<br />JOB ADDRESS
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<br />LOT #
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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
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<br />MECHANICAL
<br />SIGNATURE
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<br />1$ I
<br />1$ I
<br />1$ I
<br />1$ '1:2 7 1:: (h) I
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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 />1I111111111111111111111111111111111111111111II111111111111111111111111111111111111111111111111111111111111111111I11111I111111111111111111111111111
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<br />I
<br />I
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<br />
<br />License # I I
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<br />I kt~'::i!Q/c~d /J //a.,ffy /l/~ I
<br />(lly IN)? FEECURREN~ f i/N I
<br />License # I / ~ A. I
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<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
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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 />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
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<br />Y/N
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<br />Address
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<br />License #
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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
<br />
<br />COMPANY
<br />REGISTERED
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<br />
<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />--
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<br />COMPANY
<br />REGISTERED
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<br />OTHER
<br />SIGNATURE
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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 />COMMERCIAL
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<br />Address License #
<br />1I1I111111111111111111111111111111111111111I1111111111111111111111I11111I11111I11111II111111111111111111111111111111111111111111111111111111111111
<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/Jarge 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 />SIGN PERMIT
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<br />DI~~~t;~~~': ' , , , , , , , 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 .
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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)
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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 A1C Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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