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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 () If (C6~ Vc:c.
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<br />Qwne(. Add.... I t/{, t..fe f??j k.cs 1?:Jty ~ J:r.
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<br />Fee Simple Titleholder Name 5Cl me... d. 5 a. v--€-
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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
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<br />Eo. fe.s
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<br />~ NEW CONSTR c=J
<br />E=I INSTALL CJ
<br />PROPOSED USE D SFR D
<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />DESCRIPTION OF WORK I 5 C-(lavt 12c:lJyY'l '+- Co ncrk2- ~
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<br />I/o 'lIt 1 sa FOOTAGE I
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<br />1$ f#I!J- ~
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<br />D
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />D
<br />D
<br />D
<br />
<br />BUILDING SIZE
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<br />/70P
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<br />D
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<br />I
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<br />I
<br />1
<br />D
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<br />AMP SERVICE
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />PROGRESS ENERGY
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<br />BUILDING
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<br />D
<br />D
<br />D
<br />D
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<br />ELECTRICAL
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<br />PLUMBING
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<br />SIGN
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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 />HEIGHT I
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<br />D
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<br />W.R.E.C,
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<br />MECHANICAL
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />
<br />GAS
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<br />ROOFING
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<br />FINISHED FLOOR ELEVATIONS
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<br />OTHER
<br />DYES
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<br />~
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY ~~_ Ex/(:no(-s
<br />REGISTERED ~Lv N , Y FEE CURRENT ~/ N I
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<br />/[33 SI- License # l"ex; l()ht7 /i
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<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />Y/N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
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<br />Address License #
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<br />111111111111111111111111II111I111111I11111111111111I111I11111111111I1111111111111111111I111111I11II1111111111111111111111I111111111111111111111111
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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 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~~~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 (PloUSurvey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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