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<br />Date Received
<br />
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department 35z _
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<br />JSz.
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<br />Fax-813-780-0021
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<br />813-780-0020
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
<br />
<br />~(~9
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<br />riA- Yo ~I ~ I c/"/(' I &JC J.3S6~r Phone Number I
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<br />I Owner Phone Number I
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<br />
<br />Owner's Name
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<br />Fee Simple Titleholder Address I
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<br />JOB ADDRESS
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<br />LOT #
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<br />WORK PROPOSED
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<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
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<br />DESCRIPTION OF WORK I 5!..1~TA-j..L
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<br />BUILDING SIZE I I sa FOOTAGE I HEIGHT I
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<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I PARCELlD#13tf- 25-2/-0150~OOOOO- DtJ{O
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />E3 ADD/ALT D SIGN D MOVE D
<br />REPAIR
<br />C!J COMM D
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<br />DEMOLISH
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<br />SUBDIVISION
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<br />1$ It oBZ,. 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 />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />D
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
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<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE ,
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />
<br />License # I
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<br />~Y~N'~~~~ENT
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<br />
<br />License # I
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<br />MECHANICAL '
<br />SIGNATURE
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<br />It I 1'q((/
<br />I Y /N I
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<br />Address
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<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMMERCIAL
<br />
<br />Address License #
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<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 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.
<br />
<br />SIGN PERMIT
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<br />Di~~~ti~~~': ' . . , , , . . . , , . . , , . . , , . . . , , . , . . , , . . . , , , . . , . , . . , , , . . , , , . . , , , . . , , , . . , . . , , , . . , , . . . , , , . . . , , , . . . , , . , . . . . . . , , , . , . . . . . . , . , , , , , , . . , , , . , . . , . . . . , , , ,
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<br />Fill oull 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 (Plol/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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