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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 />Date Received
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<br />
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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 Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />13S\ ~)
<br />I
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />\~ ~flY\ e\.- Lot--~
<br />I PARCELlD#1
<br />B
<br />D
<br />D
<br />
<br />LOT #
<br />
<br />SUBDIVISION
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D DEMOLISH
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<br />DESCRIPTION OF WORK
<br />
<br />B
<br />D
<br />D
<br />
<br />I :r (l 'I \. ~CL~ C/V"'o..
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<br />I SQ FOOTAGE I
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />WORK PROPOSED
<br />
<br />OTHER I
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<br />TTTTlTfTTTTTll" ~ 1111'111111 I. 111'1111111'1111111111111111 1111. 1111'" IIIII r, 1111' I1IIII1IIIII111 'lilt II" IIIII t,. 1"1. II" II 111111111" 1111'1111'
<br />
<br />BUILDING SIZE
<br />
<br />HEIGHT I
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<br />1$
<br />D ELECTRICAL 1$
<br />D PLUMBING 1$
<br />D MECHANICAL 1$
<br />
<br />D GAS D
<br />FINISHED FILOOR ELEVATIONS I
<br />
<br />D
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />WR.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />ROOFING
<br />
<br />D
<br />I
<br />
<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
<br />
<br />DNO
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<br />BUILDER
<br />SIGNATURE
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<br />
<br />~-tYtff'l o/:E~~R!C ~~ \,.
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<br />
<br />License # I
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<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Y / N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNATURE:
<br />
<br />Y/N
<br />
<br />Address License #
<br />111111111111111I111111111111111111111I1111111111111111111111111I11111111111111111111111111111111111111111111111111111111111I111111I111111111111111
<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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
<br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTy SURVEY required for all NEW construction.
<br />
<br />i:il~~~tj~~~':' , , . . , , , . . , , , . . , . , . , , . , , , . . , , , . . . . , , . . . . , , . . , . . . . , . . , . , . . , . . . , . . . , . , . . , , , . . , , , . . . , , . . , , , . . . . . , . , , , , . , . . . . , , , , . . . . , . , , , , , , , , , , , , , , , . . , . .
<br />
<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 NC
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<br />Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadwaysooneeds ROW
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