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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 h-~ . ~ the..r K()...(" (,\e..r--
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<br />Fee Simple Titleholder Namel
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<br />Owner Phone Number '1 ~...,.. "-f<; ,.. lo<6 a
<br />Owner Phone Number I ~ ~ -, ~ '1 ~ ct .. \-fl $1
<br />Owner Phone Number I
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<br />Date Received
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<br />Fee Simple Titleholder Address I
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<br />154\ C1
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<br />~h4(~,ll~. \=L 3~~ 1 LOT# I
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<br />PARCELID#II\ '~lo'~ - 00,\0. \ ~s-oo. 00\ ()
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE 0
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />1
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<br />D NEWCONSTR [2] ADD/ALT 0
<br />D INSTALL D REPAIR
<br />PROPOSED USE D SFR 0 COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I
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<br />DESCRIPTION OF WORK \':Re \ocr...--K- \'Y\CU,^ po.C\eJ ~ R.e..~ (K k,-khe(\ Cj{ c\"'~\+..5 .
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<br />o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
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<br />1$ ctso,o::) I
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<br />o PLUMBING 1$ I
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<br />D MECHANICAL 1$ I
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<br />D GAS D ROOFING 0 SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />DEMOLISH
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<br />WORK PROPOSED
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<br />ELECTRICAL
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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 I N
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<br />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 />Y I N
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<br />FEE CURRENT
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<br />Y/N
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />License #
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<br />Address
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<br />Address
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<br />PLUMBER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Y I N
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<br />FEE CURRENT
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE ,
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<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />License #
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<br />COMPANY
<br />REGISTERED
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<br />License #
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<br />Address I I License # I ' I
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<br />111111111111111111111111111I11111111111111111111111111111111111111111111111111111;1111111111111111111111111111111111111111111111111111111111111111
<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.
<br />1II1111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 (Plot/Survey/Footage)
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<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />Y/ N
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<br />FEE CURRENT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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