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<br />813-780-0020
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<br />City of Zephyrhills Permit AppllcaUUII
<br />Building Department
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<br />Date Received
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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 />Owner's Name
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<br />Owner's Address
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<br />Fee SimplE! Titlehold~r Namel
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address I
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<br />I PARCEL ID#I 03-&<.0. d. \ - 6\'5(")" 06C>DO- L")D4-D
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEW CONSTR E1 ADD/ALT D SIGN D MOVE D DEMOLISH
<br />D INSTALL REPAIR
<br />PROPOSED USE D SFR 0 . COMM D OTHER I
<br />TYPE OF GONSTRUCTION D BLOCK 0 FRAME D STEEL D
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<br />DESCRIPTION OF WORK ~/p. ~~(l1\C1< out (SeJ'it- CSlj~/l
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<br />BUILDING SIZE I I ~Q FOOTAGE I I HEIGHT r '. l
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<br />LOT #
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<br />SUBDIVISIO~
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<br />WORK PROPOSED
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<br />OTHER I
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<br />1$ I
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<br />1$ 5 I lCD, 00 I
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<br />D GAS D ROOFING D SPECIALTY D OTHER
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<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />SIGNATURE REGISTERED Y I N FEE CURRENT Y I N
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />ELECTRICAL
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />W.RE.C.
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<br />PLUMBING
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<br />MECHANICAL
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<br />VALUATION OF MECHANICAL INSTALLATION
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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 />I Y IN
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<br />FEE CURRENT
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<br />Y/N
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<br />Addres$
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<br />License #
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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 />License # I
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<br />Y I N FEE CURRENT
<br />License # I
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<br />Address
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<br />Address
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<br />I nQ ·
<br />I Y IN
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<br />MECHANICAL
<br />SIGNATURE
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<br />OTHER
<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 />IIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11.111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 wi Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislons/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 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.
<br />1111111.11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIillllllljllllllllllllllll
<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 cqntractor) 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 Ale Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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