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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 />11..111....
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<br />Date Receil/ed
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<br />\' 51-0 /"to..
<br />LL-CL. (~O 1\Q~er Phone Number
<br />;.. C"r\w~d 1>1+ I
<br />'q Owner Ph:fne Number
<br />I CC4-d.-tDbl...
<br />Owner Phone Number I
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<br />Owner's Name
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<br />Owner's Address .
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<br />Fee Simple' Titleholder Namel N ~ (\
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<br />Fee Simple Titleholder Address IIV' A
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<br />Ze-pl,'-j rh;ll6' j r::-L~3 S'-/ f I
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<br />PARCELlD#13:) -~5-.;2. t - COle '-Cqy OD- C(XX)
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />SIGN D MOVE D
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<br />SUBDIVISION
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<br />I " 30 10
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<br />LOT #
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<br />JOB ADDRESS
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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 />D BUILDING 1$ S;~ 2,,0. ~ I VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ it/ fl(Il1. Q() I AMP SERVICE D PROGRESS ENERGY D W.R.E,C,
<br /> / ~OC
<br />D PLUMBING 1$ ~;'O(J. I
<br /> fJ'f) ~(m ~:.>.p,-\ - 59 ,\. \\ h f cry
<br />D MECHANICAL 1$ ~).ISO~. 'C) I VALUATION OF MECHANICAL INSTALLATION
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO
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<br />Addres
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<br />License #
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<br />BUILDER
<br />SIGNATURE
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<br />), . ELECTRICIAN
<br />~~~ SIGNATURE
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<br />G\ec~~ ~",..... .
<br />.-I FEE CURRENT Em' ;
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<br />License # I
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<br />PLUMBER
<br />SIGNATURE
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<br />Address
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<br />~ MECHANICAL
<br />SIGNATURE
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<br />370' License # I e.Fc /4/:LS(.,d.. 7
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<br />COMPANY ~& .5-t-s \.i27~
<br />REGISTERED ~~ I FEE CURRENT tMJ
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<br />License # I
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />OTHER
<br />SIGNATURE
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<br />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />Address License #
<br />11111'11111111111111'111'1111111'1111""111111111111111111I111111I111111I111111111111111111111111111111111111111111111111111111111111111111111111
<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 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~~~t;~~~': . , . , , , , . , , , , , , , . , . , , , , . , , , , . , . , , , , , , , , , , , , , . , , , . . , , , , , , . , . , . , . . , , , , , , , . . , , . , . , . , . , , , , . , . . . , , , , , . . . . , , , , , , , , , , . . , , , , , , , , , , , , , , , , , , , , , , , .
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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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