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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 />..e Received
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<br />-t+ 1 f v{
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<br />, Owner's N,am& A/ L
<br />! Owner's Address S- 6 c.. 0
<br />Fee Simple Titleholder Namel
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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 />7 ~8 6 C))S-
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<br />Fee Simple Titleholder Address
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<br />SUBDIVISION
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<br />I LOT# I
<br />I PARCEL ID# I II. -"}~ -" 1,,( -00 I 0 - b30~o - {)~.O
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />~ NEW CONSTR Di1 ADD/ALT D SIGN 0 MOVE D
<br />~ INSTALL D' REPAIR
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<br />PROPOSED USE -~ SFR D COMM D
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<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
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<br />DESCRIPTION OF WORK I fr · \J ~ c y F<.t'\c e. ~ to...'
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<br />BUILDING SIZE I I sa FOOTAGE I I HEIGHT I
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<br />JOB ADDRESS
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />OTHER I
<br />STEEL 0
<br />OF 96/
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<br />OTHER I
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<br />D BUILDING
<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
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<br />1$ ~Oo. O~ I
<br />1$ I
<br />1$ I
<br />1$ I
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<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />11111111111111111111111111111I111111111111111111111111111111111111II11111111I1111111111111111111111111111I1111111111111111111111111111111111111111
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<br />:~~~~~RE ~ ;,~:':.':: I]'j",~.\f' FEE~~,,,e~/N I
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<br />License # I I
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C,
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<br />VALUATION OF MECHANICAL INSTALLATION
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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 />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 />PLUMBER
<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 />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 />COMPANY r
<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 />COMMERCIAL
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<br />Address License #
<br />11111111111111 11111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111
<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 w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/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 />SIGN PERMIT
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<br />11111.11.........111.111.......11........................................".,......1.,...............,...................,..................1.".1
<br />Directions:
<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 />Driveways-Not over Counter if on public roadways..needs ROW
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