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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 />Fax-813-780-0021
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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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 />Owner's Name
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<br />WORK PROPOSED
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<br />I PARCELlD#1
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<br />D NEW CONSTR 0 ADD/ALT D
<br />~ INSTALL Cl REPAIR
<br />PROPOSED USE D SFR og COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
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<br />DESCRIPTION OF WORK l1t C)D~ ~ fJ~ U
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<br />BUILDING SIZE I "'SQ FOOTAGE I I HEIGHT I
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<br />LOT #
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />DEMOLISH
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<br />OTHER I
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<br />OTHER
<br />STEEL
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<br />1$
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<br />1$ AMP SERVICE D
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<br />1$ ~ '4,\'9~~1/~~
<br />~ MECHANICAL 1$ I DOOO _ D? VALUATION OF MECHANICAL INST;~~
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<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ,~
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />BUILDING
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<br />PLUMBING
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<br />ELECTRICAL
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<br />Address
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<br />Y/N
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<br />FEE CURRENT
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<br />Y/N
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<br />BUILDER
<br />SIGNATURE
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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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 />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />
<br />
<br />Address
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<br />MECHANICAL
<br />SIGNATURE
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<br />OTHER
<br />SIGNATURE
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<br />r~ 3dl;)1 License #
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<br />Y / N FEE CURRENT
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<br />Y/N
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<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 />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 />DI~~~tj~~~': . , , , . , , , , . , , , , . , , , , . , , . . , , , . . . , , , . . , , , . . , , , . . , , , . . , , , . . , , , . . 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. (A/C upgrades over $5000)
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<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notari;::ed 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 (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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