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<br />813-780-0020
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<br />City of Zephyrhills Permit Application Fax-813-780-0021
<br />Building Department <::) r ~.... _ _ /,........
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<br /><. 'I' l)'d/t...s
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<br />Owner Phone Number
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<br />Owner Phone ~umber I 81'3.
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<br />Owner Phone N'umber L
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<br />7'PA
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<br />9 ~ "...?
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<br />Date Received
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<br />01
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<br />Owner's Name
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<br />Owner's Address I "7 ~ t; J
<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address I
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<br />j::> t!- ~ )112 If- S
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<br />J ~
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
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<br />6/t II
<br />I
<br />B
<br />CJ
<br />CJ
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<br />IS /1/ ~
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<br />PARCEL ID# I
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<br />~
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<br />JOB ADDRESS
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<br />{' ':)./)
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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 />BUILDING SIZE
<br />
<br />IM.IJ~ 1 i' ," t.
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<br />I
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<br />I II I I I I ~ . I , , I I I , , I I I I , I I I I I , , I II I I I I I , , I I , . I III I , , I I I . . II r II I . . II , . I I , , I I II , II I , . II . I III I I , I . I I I , II 11 . I I , I III , I I I , I I , II I r I I , , 111 I 11 II I I I I , II I , 1111
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<br />D
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />OTHER I F I/ll-' A / flU" )o't1
<br />STEEL D OTHER I
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<br />WORK PROPOSED
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<br />r 191/ rf It tr /f /l'9hJl17
<br />I SQ FOOTAGE I
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<br />s: P !>1",,/t'L 1-......
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<br />HEIGHT I
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<br />DESCRIPTION OF WORK
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />CJ
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<br />PROGRESS ENERGY
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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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
<br />
<br />YfN
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
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<br />PLUMBER I
<br />SIGNATURE
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<br />I
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<br />License #
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />YfN
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE
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<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
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<br />FEE CURRENT
<br />
<br />Y/N
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<br />Address
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<br />
<br />
<br />License #
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<br />OTHER COMPANY D t~ 0. ~ (),U (." ~ Q fl.1
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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) sets of Building Plans; (1) set of Energy Forms. R-Q-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.
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<br />DI~~~i:i~~~':' , , . . , , , . . . , , , . . , , , . . . , , , . . . , , , , . . , , , , , , , , , . , . . , , . , . , . . , , , , . . . , , . , . . , , . . . , . . . , . . . . ~ ' . . , . . . . . , , . , , , . . . , , , I , , , . , , , I I , , I . , , , I , , I I I I . I I I . I ,
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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 Sewers Service Upgrades NC Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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