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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
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<br />Owner's Name
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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 />Date Received
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<br />/ II" 3~
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I 5'1'17
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<br />LOT# 11Y~
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<br />PARCELID#III/J.(P-').I-~o- \37OCJ -rol 0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />DEMOLISH
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<br />DESCRIPTION OF WORK
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<br />c:J/ NEW CONSTR
<br />~ INSTALL
<br />~ SFR
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<br />IL
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<br />BLOCK D FRAME
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<br />.SQ FOOTAGE IgCC)
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<br />ADD/ALT
<br />REPAIR
<br />COMM
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<br />OTHER
<br />STEEL
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />OTHER I
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<br />HEIGHT I
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<br />BUILDING SIZE
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<br />AMP SERVICE
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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 />1$ ~/OO ,Db
<br />1$
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />D MECHANICAL r
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<br />o GAS ~ ROOFLNG
<br />FINISHED FLOOR ELEVATIONS
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<br />ELECTRICAL
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<br />PLUMBING
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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 />DNO
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<br />License # I I
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<br />Address License # Il'~ IS;;} .rs-oS- I
<br />11111111111111111111111111111111111111111111111111111 1111111111111 11111111111 11111111111111111 11111111111111111 111111111111111111111 11111111111111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required onslte, 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 onslle, Construction Plans, Stormwater Plans w/ Slit 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 />1I111111111111111111111111111111111111111111I11I1I11111111111111111 11111111111111111111111111111111111111111111111111111111111I1I11I1111III1111111
<br />Directions:
<br />Fill oul 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
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br />
<br />Y/N
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<br />Address
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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 />Address
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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 />Address
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<br />MECHANICAL
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Address
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<br />OTHER
<br />SIGNATURE
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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