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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 />Owner Phone Number
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<br />I LOT# I I
<br />PARCELlD#1 /0"0<6 -eX 1- 01;;0 ,~{)tJo- 011'
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D DEMOLISH
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<br />Date Received
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<br />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />D NEW CONSTR 0
<br />D INSTALL D
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<br />PROPOSED USE D SFR D
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<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DESCRIPTION OF WORK
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<br />BUILDING SIZE
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<br />D ELECTRICAL
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<br />D PLUMBING
<br />D MECHANICAL
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<br />AMP SERVICE
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
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<br />BUILDING
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<br />W.R.E.C,
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />D GAS
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<br />FINISHED FLOOR ELEVATIONS
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<br />ROOFING
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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 #
<br />1111111111111111111111I11111111111111111111111111111111111111111I111111111I11111I111111I111111111111I1111111I1II111111111111111111
<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 wi Sill 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 />BUILDER
<br />SIGNATURE
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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 />Address
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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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 />Address
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<br />OTHER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />RESIDENTIAL
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Y / N
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<br />FEE CURRENT
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<br />License #
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<br />Y/N
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<br />FEE CURRENT
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<br />License #
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<br />Y/N
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<br />FEE CURRENT
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<br />License #
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<br />Y/N
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<br />FEE CURRENT
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<br />DI~~~i;~~~':' . , , , , , , , , , . , , , . . , . , . , , , , . , . . . , . , , , . . , , , . I , . , I . , . I . , . . I , , , . . . , . . , . . , , , . . , , , . . , , , . . '. ' . . . . . , , , , , , , . . , , , , , , . . . , . , , . , , , . I . . . , I . , , , , I . . . , . . .
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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. (A1C 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 A/C Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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