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<br />81~i-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 Name
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<br />Date Received
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<br />Owner's Address '-/ !i"(jD
<br />Fee Simple Titleholder Namel
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<br />YJ
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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
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<br />OTHER I' T ~(/'I:I-
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<br />STEEL 0 0 ERI
<br />L<:t.,c.~ 'G'T'"(. r'" <- OLe>o 4
<br />BUILDING SIZE SQ FOOTAGE I HEIGHT I
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<br />~LECTR'CAL It:s I ;~P SERVICE - ~~~~ES~ Ef\!E:B.GY___ D WREC
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<br />D PLUMBING 1$ I
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<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
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<br />D GAS 0 ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
<br />1111111111111111111111111111 III 1 11111 11111 II! 1111 1 11111111 1 1111111111111111111II1111I1111111111I111111111I11111111I1I1111111111 1 I 1 111I11111 1 111111
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />SFR
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<br />' PARCELlD#1
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<br />JOB ADDRESS
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<br />W t- 'l.te...r 5
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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 0
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
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<br />COMM
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<br />MECHANICAL
<br />SIGNATURE
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<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 />ELECTRICIAN I
<br />SIGNATURE
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<br />Address I
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<br />PLUMBER
<br />SIGNATURE
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<br />License #
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<br />COMPANY
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<br />I Y / N I
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<br />FEE CURRENT
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<br />I Y/N
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<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />OTHER
<br />SIGNATURE
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<br />Y/N
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<br />Address
<br />111111111111111
<br />RESIDENTIAL
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<br />License #
<br />11111111111111I11111I11111I111111111111111111I1111111111111111I111111111111111111111I11I111111111111111111111111111111111111111111
<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 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.
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<br />Dl~~~ti~~~': ' , , , , , , , , , , , , . , , , , , . , , , , , , , , , . , , . , , , . , , , , , , , , , . , , , , , , , , , , , , , , , , , , , , . , . , . , , . , . , , , , , , , , , , . , , , , , , . , , , , . , , , , . , . , , , , , , , , , , , , , , , , , , , . , , , , , , , ,
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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 />Rerool's Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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