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<br />813-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
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<br />f"'"aX-O '.)-/OU-UU, I
<br />
<br />Fee Simple Titleholder Name
<br />
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Owner Phone Number I
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address I
<br />
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
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<br />D OTHER
<br />D STEEL D OTHER I
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />ADDIAL T
<br />REPAIR
<br />COMM
<br />FRAME
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<br />DEMOLISH
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<br />U NEW CONSTR E1
<br />D INSTALL
<br />PROPOSED USE D SFR D
<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />DESCRIPTION OF WORK I ('0n,~-lLle__ T-exwcfP-
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<br />BUILDING SIZE I I sa FOOTAGE I ~ ~ DO I HEIGHT I I
<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 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 , ' I I , , I I , . , I ' I I . I I , I I I
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<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
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<br />1$5-Zi 5,. I
<br />1$ I
<br />1$ I
<br />1$ I
<br />
<br />D GAS l2(J ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA dYES DNO
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY,
<br />
<br />o
<br />
<br />W.R.E.C.
<br />
<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE ,
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIG
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<br />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, Requiredonslte, Construction Plans, Stormwater Plans wI Slit Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlsionsllarge projects
<br />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 onslte, Construction Plans, Stormwater Plans wI Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
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<br />RESIDENTIAL
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<br />COMMERCIAL
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<br />SIGN PERMIT
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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)
<br />
<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (PlotlSurveyIFootage)
<br />
<br />Driveways-Not over Counter If on public roadways..needs ROW
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