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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 />Date Received
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<br />Owner Phone Number r; 3 u ).. ( ).. /
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<br />Owner Phone Number
<br />15//7-7.....1 0''\ &0
<br />Owner Phone Number .J.. - do
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<br />Owner's Name -J 0 III
<br />Owner's Address I :3 ~~3t "3rcJ. flflZ
<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address I
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<br />3;r~3't
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<br />JOB ADDRESS
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<br />"3 I' J 1:]1/ 't-
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<br />-z '-L "h IIi I-t- <. I LOT # I
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<br />PARCELlD#UI - '2f.p_ U -- COt 0 - Ie; 7() 0 - oor 0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />I
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<br />E3 NEW CONSTR c=J ADD/AL T D
<br />INSTALL D REPAIR
<br />PROPOSED USE ~ SFR D COMM D
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D
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<br />DESCRIPTION OF WORK I ~/ f} L C-h ifNi ~ cn~""" J. rD~4/ t'-/ j!
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<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT
<br />11111111' ' , I , , I111 . . I , , 1111I1111111111111111111111111 ' , , ' 11111111111 , 1111111111 , III r I111I11111 , I111I11111111111111 , . , 11111111111111111111 , I ' I11111
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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
<br />STEEL
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<br />I
<br />D
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<br />OTHER I
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<br />D
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y / N 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 I
<br />SIGNATURE
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<br />License #
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<br />COMPANY
<br />REGISTERED
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<br />Y / N FEE CURRENT
<br />
<br />Y/N
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<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N FEE CURRENT
<br />
<br />Y/N
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<br />
<br />License # I
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<br />I a..-'r"rp fJ-G ~ 1-/ r'Jfrt- CAe 0 ;:).'f11V
<br />LY / N I ' FEE CURRENT I Y / N J'
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<br />License # I
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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
<br />
<br />Y/N
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<br />Address License #
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<br />11I111111111111111111111111111111I11I11111111111111111I1I11I1111I111111111II1111111111111111I111111I1111111111I11111111111111111111111111111111111
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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-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 />[jl~~~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 />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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