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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's Name
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<br />Own.,'sAdd",ss I (PJJ~n
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<br />Fee Simple Titlehold~r Name
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<br />Dr
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<br />Fee Simple Titleholder Address I
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<br />JOB ADDRESS
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<br />PARCEL 10#/ n.~ - 2lr 2J - 0 J200-ooo00-oq 10
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />Dr.
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<br />I
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<br />o NEW CONSTR 0 ADD/ALT 0
<br />D INSTALL D REPAIR
<br />PROPOSED USE 0 SFR D. COMM D OTHER I re-rl?o-f'
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
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<br />DESCRIPTION OF WORK I resit\f't')1io.1 re-n,~Li.hou.se") 6~1~
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<br />D BUILDING 1$ I . L 00
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<br />D ELECTRICAL 1$
<br />D PLUMBING 1$
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<br />D MECHANICAL 1$
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<br />D GAS G2J ROOFING
<br />FINISHED FLOOR ELEVATIONS I
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />SIGN
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<br />D
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<br />MOVE
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<br />D
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<br />DEMOLISH
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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 />",0,_ W.R.E.C
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<br />DYES
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />D
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DNO
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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 />Address I
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<br />MECHANICAL I
<br />SIGNATURE .
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<br />Address I
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<br />License # I
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<br />COMPANY
<br />REGISTERED
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<br />COMPANY
<br />REGISTERED
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<br />I Y / N
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<br />FEE CURRENT
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<br />Y/N
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<br />License #
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<br />COMPANY
<br />REGISTERED
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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 />License #
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<br />COMPANY
<br />REGISTERED
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<br />Y/ N
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<br />FEE CURRENT
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<br />Y/N
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<br />License #
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<br />~ ~~fTnrYIN I
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<br />License # I c..CC L~ 1.L, "S 7 4-
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<br />OTHER
<br />SIGNATURE
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<br />Address
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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) complete sets of Building Plans plus a Life Safety Page; (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 />Directions:
<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 Ale Fences (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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