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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 />1cf)Q
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<br />Date 8ecelved
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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 1613
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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 1
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<br />16'l</~ \j Ll! 'DT. zr;PHifWi~ (L. 33~f12 I LO" I
<br />I I PARCELlD#1 II-~~ z,/- OOfO,. tlfcfoo-cXJ3v
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />o SIGN D MOVE 0
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />E3 NEW CONSTR B ADD/ALT
<br />INSTALL REPAIR
<br />PROPOSED USE 0 SFR 0 COMM
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME
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<br />DESCRIPTION OF WORK I (-<,lfPLAC:lS S:svJl.J1G U AJl1
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<br />BUILDING SIZE I 1 sa FOOTAGE I I HEIGHT I I
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<br />1$ I
<br />1$1, '/7'5.00 I
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<br />o MECHANICAL 1$ I
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<br />D GAS D ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />11I1111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111I11I11111I11II1111111111111111111111111111I11111111
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<br />License # I
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<br />COMPANY IlRlt DI2AIN TlJ11iY\ I
<br />REGISTERED I Y I N I FEE CURRENT I Y I N I
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<br />License # ICY-CtJS7~27 I
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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 />D
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<br />OTHER I
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<br />BUILDING
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<br />1$
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />o ELECTRICAL
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<br />~PLUMBING
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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 />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 />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 />Address
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<br />PLUMBER
<br />SIGNATURE
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<br />MECHANICAL
<br />SIGNATURE
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<br />( .
<br />COMPANY I
<br />REGISTERED
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<br />Y I 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 />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 />Address License #
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<br />1111111111I111111111111111111111I11111111111111111I111II111I1111I1111II11111111111I111111111111111111111111111111I1111111111111I11111I111111111111
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<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/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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