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<br />813-780-0020
<br />
<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 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 />I
<br />I
<br />I )3<171
<br />I
<br />
<br />/" Owner's Name
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<br />-- JOB ADDRESS
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<br />A Bo t/~ LOT #
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<br />I #1 0 ~.- 1,..~.-, .2,.,1::..j2Qi.{;,..'::::~..6..a 0 -'dI~b
<br />. PARCELlD. . ___I'!J
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEW CONSTR I:=J AD DIAL T D SIGN D MOVE D
<br />D INSTALL D REPAIR
<br />PROPOSED USE 0 SFR D . COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D
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<br />PIC K~.7'- r E/!/cF .j1e~ r- C)r /,':?""'jPt::IA-r:V
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<br />BUILDING SIZE I I SQFOOT~EI7;2 rr I HEIGHT I ~e' /~ I
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<br />bJZ?
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<br />Fee Simple Titleholder Address I
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<br />I __~An ~.. ;/J.5
<br />I Vt/I'AlTe GrOVe-
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />OTHER I
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<br />/' DESCRIPTION OF WORK
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<br />I . . I . . . . I I I . . I . I I . . . I , . . . . , I . I I I , I I I , , . . . p , , , I I , I I t I I I I I I I I I t 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 I . I I I I . I . I I I I I , I I I ~ I 1 , , , , . . . , , . I I . . , . , . . , I I . .
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<br />=:::~~~~R; AI~/r AJ~ I
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<br />ELECTRICAL
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<br />AMP SERVICE
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<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
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<br />W.R.E.C.
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<br />/" 1$
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<br />1$
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<br />1$
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<br />1$
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<br />c=J GAS c=J
<br />FINISHED FLOOR ELEVATIONS I
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />c=J
<br />c=J
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<br />PLUMBING
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<br />c=J
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<br />MECHANICAL
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />ROOFING
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
<br />DYES
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<br />DNO
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<br />COMPANY
<br />REGISTERED
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<br />WN~~~
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<br />
<br />License # I
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<br />Y/N
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />YI N FEE CURRENT
<br /> License #
<br />
<br />Y/N
<br />
<br />Address
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
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<br />OTHER I
<br />SIGNAtURE
<br />
<br />Address I
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<br />II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111
<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 Sill 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 onsite, Construction Plans, Stormwater Plans wI 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 />11I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111
<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 />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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