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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 Address
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<br />Ie.c/U' ;>- ~ cJ
<br />lie-IN a.-;LI 6 ;<
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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 />JOB ADDRESS
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<br />z ~ , ~&, r--:/,
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<br />PARCELlD#1 /~ -" "fi;-~/- 0 CJJ:J..(} ~ tf) ~ ~e~ - (fJ /& 8
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />LOT #
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<br />DEMOLISH
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<br />OTHER I
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<br />W.R.E.C
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<br />/JJrY/
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I11111111111111111111111111
<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 />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 />Attach (2) sets of Engineered Plans.
<br />""PROPERTY SURVEY required for all NEW construction.
<br />111I111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111I
<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
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC
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<br />ROOFING
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<br />SPECIAL TV D
<br />FLOOD ZONE AREA
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<br />BUILDER
<br />SIGNATURE
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />PLUMBER
<br />SIGNATURE
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<br />MECHANICAL
<br />SIGNATURE
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<br />OTHER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Address
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />FEE CURRENT
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<br />License # Ieee c!J..r"rS-/?"
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<br />License # I C~-() 00 2570 I
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<br />I ;,J 111/( 8AJltf2 Plumb/A)&' I
<br />fYi' Nt:, FEE CURRENT VI (.Y / N I .
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<br />License # CFC (Y-Jl.... r:
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<br />License #
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<br />I c..q cJ..
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<br />V/ N
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<br />FEE CURRENT
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<br />Y/N
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<br />License #
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<br />Fences (Plot/Survey/Footage)
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<br />Driveways-Not over counter'1tqn~i=l~F.M~OS~-.t" ,(', "', I \~>'~"";:.,..~,,,,,,.~,..........,
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