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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 Received
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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 />Owner's Name
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<br />Fee Simple Titleholder Address I I
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<br />1~9020 to ,]! A'Je, zr:PH,/eH1LLs r;::L,~y30"12 I LOT# I I
<br />I EtARCELlD#I/1 ~~'N~LOM90S~y~x~~{)O o3~q
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<br />~I W CONSTR ADD/ALT D SIGN D MOVE D DEMOLISH
<br />INSTALL REPAIR
<br />PROPOSED USE SFR 0 COMM D OTHER I
<br />TYPE OF CONSTRUCTION D BLOCK 0.. FRAME D STEEL D
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<br />DESCRIPTION OF WORK /lZsPLACC ~~IC.. UJJC
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<br />BUILDING SIZE I I sa FOOTAGE I HEIGHT I
<br />1111111111111'11111'1'1"1111111111111111111'1111111111111"111"'1111111111111111111111'1'111111111111111111111111"11111111'111111111111111111'1
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<br />1$ I
<br />1$ I
<br />I$AI~CO.OO I
<br />1$ I
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<br />D GAS D ROOFING 0 SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO
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<br />1I11111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111
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<br />~~~~:~~ EJff~/ ~~I~J1~ I Y / N I I
<br />License # IC0"- CO~1 (0 ~ll
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />OTHER I
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<br />D
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />ELECTRICAL
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<br />AMP SERVICE
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<br />o
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<br />PROGRESS ENERGY
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<br />W.R.E.C,
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<br />D
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<br />PLUMBING
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<br />MECHANICAL
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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 />ELECTRICIAN I
<br />SIGNATURE .
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<br />PLU:::sS l.~ ,^ IV!.1 .
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<br />SIGNATURE ~
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<br />License #
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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 />~icense #
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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 />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 #
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<br />11111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I
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<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 />COMMERCIAL
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<br />SIGN PERMIT
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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 />Driveways-Not over Counter if on public roadways..needs ROW
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