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<br />Phone Contact for Permitting S( I 3
<br />Owner Phone Number &'3 - '/8'8"- 5105
<br />Owner Phone Number I g/6 - 7b"/ - %;)17
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<br />Owner Phone Number I
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<br />Fax -813-780-0021
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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 />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 />/' JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I fRo~ f yyo '1
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<br />t9~ ~ 2efh"lf; 11; F/ .~4'
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<br />I PARCElID#llf-;Jt,-.) /.-()O} ()- 633oD- (j 1:i:5
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />E3 NEW CONSTR D ADD/ALT D SIGN D MOVE D
<br />INSTALL D REPAIR
<br />PROPOSED USE D SFR D COMM D OTHER I I
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I I
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<br />/' DESCRIPTION OF WORK l/r1" 1M "1a)) eho.;()/,'"k ;:et7ce.. 1,(611 Gale.. to ',yJ}';
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<br />BUILDING SIZE I I sa FOO~GE I 1 q ~ I HEIGHT I I
<br />1111"111'1111'111"1111111"111111111111'11111'111111111'1111111111111111111111111'11111111'111'11111'1111111111111111"1111111111'11111'11111111
<br />/1$ ~'78~ so I
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<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0
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<br />D PLUMBING 1$ I f\)b C / W c.. '?
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<br />Pe {" PI V' c. "- AJ.lt?e()v~
<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION j r
<br />.. :rC ..ru.(~ '( m"p....l)~
<br />D GAS D ROOFING D SPECIALTY D OTHER Lu~\ \ ~d. +0 i~ ~(
<br />FINISHEDFLOORELEVATIONS I I FLOOD ZONE AREA DYES DNO~~n,0V\)
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<br />1111I11I111111111I11111111I1I11I1111111111I1111111II11I11111I11I111111I1111I111111I11111I1111I1111I11111111111111111I111I11I1111111111111111111111
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<br />COMPANy/1 !. btq05 fe nc,;nJ-
<br />REGISTERED lev) N I FEE CURRENT I Y / N
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<br />License # I
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<br />LOT #
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<br />SUBDIVISION
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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 />W.R.E.C.
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<br />-;1?~ 6I-~
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<br />BUILDER /
<br />SIGNATURE
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />ELECTRICIAN
<br />SiGNATURE
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<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
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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 />Y/N
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<br />Address
<br />
<br />COMPANY
<br />REGISTERED
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<br />MECHANICAL
<br />SIGNATURE
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<br />Y/N
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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 />Y/N
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<br />Address License #
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<br />I11I1111111111111111II111111I1111111111II111111111I11111I111111111I1111111I1111I11111111111I1111I1111111111II1III111111111111111111111111111111111
<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 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 w/ 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.
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<br />Dl~~~ti~~~':' , , . . , 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. (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 NC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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