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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 " - ~ OJ[)
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<br />Owner's Name i( 6 V\d 0 \..J q r J... >
<br />Owner's Address 13 CJ 501 M ec..d~....voo cI L('
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<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address I
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<br />I~ 1601
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<br />PARCEL ID#II 3-2-(0 - LI -Of yo -ClXJD (:) - 00J"cJ
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE 0
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<br />LOT #
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<br />JOB ADDRESS
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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 D SFR D COMM 0 OTHER I
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME 0 STEEL D OTHER I
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<br />DESCRIPTION OF WORK I (~ Vi:>'';; f 2. L- 5 t. CA.// ('.., 2. S- ,~.'\.v 6 tI! (~ 3
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<br />BUILDING SIZE I . I SQ FOOTAGE I 2- 2.. 5(' I HEIGHT I . I
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<br />. I I I . . . I I . . , . I I . . . I I . ',' . . . . I . . I I I . . I I I . . . . I , I . . . I I I . . I I I . . I I . . . I I I . . . I I I . '1 I . I . . . I . I . . I I . I . . I I I I . . . II I I . . r , . . . . I I I . I . . . I , . I . I , . . . I . . , . . . I . . . . I I I I I
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<br />D BUILDING 1$ i-f 3 <.0 ~ 0 () I VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
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<br />D PLUMBING 1$ I /
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<br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION (
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<br />D GAS 0 ROOFING D SPECIALTY 0 OTHER '---.--
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />W.R.E.C
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<br />COMPANY
<br />REGISTERED
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<br />BUILDER
<br />SIGNATURE
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<br />Y/N
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<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 />~~::TURE J~ ~
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<br />Address I '5301 0 ~ r!- ..s '- Po () \:l}.. \ ,~
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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/ Sill 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 A/C
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<br />Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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