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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />1111 ~
<br />
<br />
<br />
<br />1$ I
<br />
<br />D ELECTRICAL 1$ I
<br />
<br />D PLUMBING 1$ I
<br />
<br />D MECHANICAL 1$ I
<br />
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />
<br />11111111111111111111111111111111111111111111'11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />I
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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 />JOB ADDRESS
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<br />PARCELlD#1
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />LO
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />BUILDING SIZE
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<br />sa FOOTAGE I
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<br />D
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<br />LOT #
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D DEMOLISH
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<br />HEIGHT
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
<br />
<br />BUILDING
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />License #
<br />11111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111
<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 on site, Construction Plans, Stormwater Plans wI 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 wI 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.
<br />
<br />DI~~~ii~~~': ' , , , , . , , , . . , , , , , , , , , , , , , , , , . . . , . , , , , , . , , , , , . , . , , . , , , , . , , , . , , . , , , . , , , , . , , , , , . , , , , . , . , , , , , , , , , , , , , , , , . , , , , , , , , , , . . , , , , , , , , , , , , , , , , , , , , , , ,
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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)
<br />
<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
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<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />111111111111111
<br />RESIDENTIAL
<br />
<br />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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<br />Y/ N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />
<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 />Y/N
<br />
<br />Y/N
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