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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 Phone Number
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<br />Owner Phone Number I ~ I 3 . ''\s" 3 '~ - c -, ~ 3
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<br />Date RecElived
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<br />Owner's Name ::::rc. E. L.
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<br />Owner's Address I b \ 4 Y
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />DESCRIPTION OF WORK
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<br />BUILDING SIZE sa FOOTAGE HEIGHT
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<br />WORK PROPOSED
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<br />PROPOSED USE
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<br />0 BUILDING 1$ \ 5DO. aD f;l VALUATION OF TOTAL CONSTRUCTION
<br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D
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<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
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<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />BUILDER
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<br />SIGNATURE
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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 wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
<br />COMMEIRCIAL 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 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.
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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 />Reroofs Sliwers Service Upgrades AlC
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<br />Fences (PloUSurvey/Footage)
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<br />.:-,
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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