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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 />Date Received
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<br />Owner's Name I..-
<br />OWner's Address I &7 J d-
<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address I
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<br />JOB ADDRESS
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<br />PARCEL ID#I
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<br />LOT #
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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 />TYPE OF CONSTRUCTION D
<br />DESCRIPTION OF WORK I (It" /1 fJ e..
<br />BUILDING SIZE I . r sa FOOTAGE I HEIGHT I
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<br />ADD/AL T
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<br />OTHER
<br />STEEL
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<br />D BUILDING 1$ I
<br />D ELECTRICAL 1$ I
<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ 711 ot? 1/ ______
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<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS 1 1
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D OTHER
<br />FLOOD ZONE AREA DYES
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<br />I I , . . , . I . I . I I I t I , , , , I ~ . I I t I , I . I . I I , 1 I , 1 , I , I , , , I , I , , I I I . . . I I I , I . I . I I , , . . ~ . . I I I , I I I , . I I , , , , , I . I I , , r , . . . I I I I , I r . , . I . I , , I I I I . . I I , , , . . . I I , , I . . I . I . I , I . , I
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<br />BUILDER
<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 />License #
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<br />ELECTRICIAN
<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 />License #
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<br />COMPANY
<br />REGISTERED
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<br />PLUMBER
<br />SIGNATURE
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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 />License #
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<br />MECHANICAL
<br />SIGNATURE
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<br />Address
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<br />License #
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<br />OTHER
<br />SIGNA lURE
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<br />COMPANY
<br />REGISTERED
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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 />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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsile, 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 />Directions:
<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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