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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's Name
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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 />/f:..-r ~ ~Y(h8hPhOne Number I
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<br />JOB ADDRESS
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<br />Fee Simple Titleholder Address ISill I:..M(jJ BllIt""J
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<br />lOT #
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />SUBDIVISION
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />DEMOLISH
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<br />OTHER
<br />STEEL
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<br />OTHER I
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<br />DESCRIPTION OF WORK
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<br />HEIGHT I
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<br />BUILDING SIZE
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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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 />Y/ N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #,
<br />YI N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
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<br />Y/N
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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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
<br />
<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />COMMERCIAL
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />Address I License #
<br />11111111111111I11111111111I11111111111111111111111111111111111I11111111I11111111111111111111111111I11111111111111111111I11111111111111111111111111
<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 subdivisionslfarge projects
<br />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 Sift Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />""PROPERTY SURVEY required for all NEW construction.
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />SIGN PERMIT
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<br />Di~~~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 A1C Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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