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<br />813-780-00?0
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<br />City of Zephyrhills Permit Application
<br />Building Department
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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 Address
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<br />Fee Simple Titleholder Namel
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<br />
<br />G-tJ (( Bout ei Jc. vel
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<br />Date Received
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<br />Owner's Name
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<br />JOB ADDRESS
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<br />LOT #
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<br />SUBDIVISION
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<br />(<.~
<br />I
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<br />D NEWCONSTR r=J ADD/ALT D
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR 0 COMM D OTHER ~'1.J- I
<br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I I
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<br />DESCRIPTION OF WORK ~I ~ ~__ S9-/~ ~l.('Jt.;s/~<4..5 -;;e~ 1/->>...0) rf/,,~... /2-1>07\
<br />
<br />BUILDING SIZE I I sa FOOTAGE I dyao I HEIGHT I I
<br />111'11'11"11111'11'111'11'11"11'11'111'111'11'111111IIII'III"IIII:I~'~"IIIIIIII"I;'IIIII"I'II'III"'"11"1111'11'11'1"11111111'11'11111111
<br />1$ I
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<br />D ELECTRICAL 1$ I
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<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I
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<br />D GAS D ROOFING 0 SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />11111111111I111111111111I11111111111111111111111111111111111111111111111111111I1111II11111111I1I11111111111111I1II111111111111111I1111111111111111
<br />I
<br />I
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<br />SIGN
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<br />D
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<br />MOVE
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<br />D
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<br />DEMOLISH
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<br />WORK PROPOSED
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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 />AMP SERVICE
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<br />o
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<br />PROGRESS ENERGY
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<br />o
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<br />W.R.E.C.
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<br />Cfr-~' ceA-
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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
<br />
<br />Address
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<br />License #
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<br />Address
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<br />
<br />License #
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<br />I f3 c (!J t!7t!) t> 7WJ
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y / N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />License # I
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<br />I U- (tkf~ &rkv-a-;Se5 "L'1C
<br />I Y / N I FEE CU~ENT I Y / N I
<br />
<br />License # I
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<br />
<br />OTHER
<br />SIGNATURE
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<br />Address
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<br />RESIDENTIAL
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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 />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 AlC Fences (Plot/Survey/Footage)
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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