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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 />.ft' 1orb1 ~@
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<br />Owner's Name
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<br />/I
<br />Owner's Address ~a se ()
<br />Fee Simple Titleholder Namel'foJxr-(- P;-//5 bJ'1
<br />F.. Slmpl. Tld.hold., Add.... I b 1 P :;:[;(7 n t Sf.
<br />JOB ADDRESS \- 6// ( _1,_-"/)+ Sf.
<br />I I
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<br />
<br />E3 NEWCONSTR ~ ADD/ALT
<br />INSTALL D REPAIR
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<br />PROPOSED USE 0 SFR 0 COMM
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<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME
<br />I
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<br />DESCRIPTION OF WORK I IY/ C _:J;:;.5 ~ ( ( ~ . 5 ~
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<br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I
<br />I I , I , I , I I I . II , I I , I I I , II I I I , I I I" I I . II I . I , ft 11 I . . I , , I I II I I , . I , . I II . I , , 1 I I I , I . I , I I I , I I , I I , ~ II , I I , I , , I I . . I , , I II I I I , I , , I , II I r I I , III I I , I I I I I I . I , . II . I I , I I
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<br />1$ I
<br />1$ I
<br />1$ I
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<br />~. MECHANICAL 1$ ?;:)fo() pt-. I
<br />
<br />-
<br />
<br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />I1111111111111111111111111111111111111111111I11111111111111111111111111111111I11111111111111111I1111111111111I11I111111111111111111111111111111111
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />
<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 />LOT #
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<br />SUBDIVISION
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<br />PARCELlD#1
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
<br />
<br />DEMOLISH
<br />
<br />WORK PROPOSED
<br />
<br />o
<br />o
<br />o
<br />
<br />OTHER
<br />STEEL
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<br />I
<br />~
<br />
<br />OTHER I
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<br />D
<br />
<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
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C,
<br />
<br />D
<br />D
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<br />PLUMBING
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<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
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<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y I N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />License #
<br />
<br />(o{;~URR{f i<; Y I N I
<br />License # 1(1Y!81~ ~ P
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address License #
<br />11111111111111I111111111I111I11111111111111111111111111111I111111111I111111111111111111111I11111111111111111111111I1111111111I1111I1111II111111111
<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 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 />COMMERCIAL
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<br />SIGN PERMIT
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<br />DI~~~ii~~~':' , . . . . , , , . . , , . . , , , . . , , , , . , , . . . . , , , , . , . , . . , , , . . , , , . . , , , . . , . , , . . . . , , , . . , , , . . . , , . . . , . '. . . . . , , , . . . . . . . . , , , . , , . . . , . , , , , , , . , , . . . . . , . . . . . , . . , . .
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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)
<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 Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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