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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0Q21.
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<br />Owner's Name
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<br />Owner's Address I l, l () :;-
<br />Fee Simple Titleholder Namel
<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 />Date Received
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<br />Fee Simple Titleholder Address I
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<br />I fo '1 DS-
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<br />SUBDIVISION
<br />
<br />PARCEL 10#1
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<br />I LOT# I
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<br />o "L - L (p "- 2)- 0 L I Q -000 o (:;-IYO () I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />NEW CONSTR
<br />INSTALL
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<br />SFR
<br />BLOCK
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<br />JOB ADDRESS
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<br />DESCRIPTION OF WORK
<br />BUILDING SIZE I I SQ FOOTAGE f~ , 2--0- , () q ~ II & 00 Sf 1'1 I
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<br />II' , III . II , . II , I II . I II , , I , , III II , I III , II I , I , , . , II , I IIIIII , III1 I , f , I , II , ,--::-: ,-;-; II III , 1II1IIII . 1111 III1 I , I , II , IIII I1III . II , I I , 111111111 , . III 11 , IIII ,
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />W.R.E.C,
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<br />BUILDING
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<br />
<br />VALUATION OF TOTAL CONSTRUCTION
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<br />ELECTRICAL
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<br />GAS
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />MECHANICAL
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<br />ROOFING
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<br />SPECIALTY 0
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />FINISHED FLOOR ELEVATI
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<br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111II11111111111111111111111I111
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<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
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<br />Y/ N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
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<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/ N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />License # I
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<br />I Sr~Jt~l~UR~h~1 J;~~
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<br />License # I (( ( oS 71,<'- 7
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<br />OTHER
<br />SIGNATURE
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<br />Address
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<br />
<br />RESIDENTIAL
<br />
<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 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 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 />COMMERCIAL
<br />
<br />SIGN PERMIT
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<br />Di~~~ti~~~':' , , . , , , , . . , , , . , , , , . , , . . . . , . , . . , , , . . , . , . , , . , , , . . , . . . . , , , , . , . , . . . . , , , , , . . , . . . . , , , . . , ~ ' , . , , . , , , , , , . . , . . , . , , , , , , , . , , , , , , . , , , , . . . , , , . , . , . , , .
<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
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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