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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 />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titlehol~er Namel
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<br />L aYle"u I!cI
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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 />Fee Simple Titleholder Address I
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<br />~7tfll
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<br />I LOT# I
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<br />PARCELlD# I 03 - 2 6 ~ 21 ~ [)O / ~ ~ Cb30LJ -'DO D 6
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />REPAIR
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<br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I
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<br />
<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />@
<br />D
<br />D
<br />I
<br />
<br />COMM
<br />FRAME
<br />
<br />NEW CONSTR
<br />INSTALL
<br />
<br />SFR
<br />
<br />BLOCK
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />DESCRIPTION OF WORK
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<br />D
<br />
<br />I
<br />1$ I
<br />1$ e6CO~. I
<br />1$ I
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<br />l&f GAS D ROOFING D
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<br />FINISHED FLOOR ELEVATIONS I I
<br />
<br />BUILDING
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<br />1$
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<br />DEMOLISH
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<br />OTHER I
<br />STEEL D
<br />
<br />OTHER I
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
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<br />W.R.E.C.
<br />
<br />D
<br />
<br />D
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<br />
<br />~~PS~
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<br />'VALUATrdN~F MECHANICAL INSTALLATION
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
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<br />Address I License #
<br />I11I11I1111111I \11\111111111111111111111111111111111111111111111111111111II111111111111111111111I11111111111111111111111111111111111111II111111111
<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 />ELECTRICAL
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<br />PLUMBING
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<br />D
<br />
<br />MECHANICAL
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />
<br />
<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
<br />
<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />OTHER
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<br />DYES
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<br />Y/N
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<br />Y/N
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<br />FEE CURRENT
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<br />License #
<br />
<br />Y / N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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<br />
<br />License #
<br />
<br />Y / N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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<br />License #
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<br />Y / N
<br />
<br />Y/N
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<br />FEE CURRENT
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<br />DI~~~ti~~~': ' I , , , , . , , . . , . . . , , . . . , I I I I , . . . , . I . , . . , , I . I I , , , I . , , , . . , , , I . , , , . . . , , , . 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 AlC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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