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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 />ff1006
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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 />Owner Phone Number I
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<br />Fee Simple Titleholder Address I
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<br />1582S /&rVa
<br />I
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<br />S+-~ftA~vl-u'JlJ F I "33,sYL
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<br />I PARCEL ID#U , -2. \0 - L '-00 10 -07300 -0 I "10
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D NEW CONSTR D ADDIALT 0 SIGN 0 MOVE 0
<br />D INSTALL D REPAIR
<br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I
<br />
<br />DESCRIPTiON OF WORK L~ \rOc:. f v...)J 9- 3u ~v G p-F T; Mbe.f (I ~
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<br />o BUILDING 1$ LfCf yo, Dol VALUATION OF TOTAL CONSTRUCTION
<br />o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY
<br />o PLUMBING 1$ I
<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
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<br />D GAS ~ ROOFING D SPECIALTY 0 OTHER
<br />FINISHED FLOOR ELEVATIONS I" I FLOOD ZONE AREA DYES DNO
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<br />I , , I . , . I I I I II t , . . I I I . . . I I . . , , . . , I . . . I I . . , . . I I I , . I I . I , . I I , , . I , . . ~ , . . , . I . I r I I , , . . , , I I , I I , , I . , I I I . . I I , I I I , . . I , . . I , I . I I . . P . I , , I I I , . . , . . . . . . . . I . . . , I I I I
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<br />LOT #
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />D
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<br />W.R.E.C
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<br />BUILDER l- /
<br />SIGNATURE _-L-
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<br />License # I I
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<br />I s to~~~jA ~'t.J-H~ I VIe I
<br />I YI N I FEE CURRENT I YIN
<br />License # r'C C ~7 cr S-l I
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<br />Y I N
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<br />FEE CURRENT
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<br />YIN
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<br />COMPANY
<br />I'EGISTERED
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<br />Address
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<br />License #
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<br />ELECTRICIAN
<br />SIGNATURE
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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 />YIN
<br />
<br />Address
<br />
<br />License #
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />YIN
<br />
<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />Address
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
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<br />YI N
<br />
<br />FEE CURRENT
<br />
<br />YIN
<br />
<br />Address
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<br />OTHER ~ I
<br />SIGNATURE '
<br />Address I,~ 3D l D S ~ L q:> 0 If'$))( \ \~
<br />
<br />COMPANY
<br />REGISTERED
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<br />111I11111111111111111111111I1111I111111111111II1111I111111111111111111111111111111111111111111111111I11111111111I111111111111111111111111111111111
<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 wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
<br />COMMERGIAL 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, Storm water 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.
<br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111I11111111111I
<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 AlC Fences (PlotlSurveyIFootage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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