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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />/1~31
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<br />Fax-813-780-0021
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<br />Date Received
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<br />
<br />Owner Phone Number
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<br />Owner Phone Number I
<br />
<br />.-Owner's Name
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<br />~t1
<br />I
<br />i
<br />
<br />..... Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />"""WORK PROPOSED
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<br />Fee Simple Titleholder Address I
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<br />vtU;:).?7 ~1"((12A, t~~Jh:. \\"7 3ids11oT#
<br />
<br />I PARCEL 10# __ .
<br />(OBTAINED FROM PROPERTY TAX. NOTICE)
<br />D ADD/ALT D SIGN D MOVE D
<br />~ REPAIR
<br />D. COMM D
<br />D FRAME D
<br />
<br />...DESCRIPTIONO.WORK I h~~~~ ~t"LS C0
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<br />BUILDING SIZE I sa FOOTAGE _ I HEIGHT I
<br />
<br />,.'.....111..........'11......11......11'....'.....11..1.........,........................,......................,................,......11........11.
<br />
<br />1$ \ \ oLD
<br />
<br />.
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<br />1$
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<br />1$
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<br />1$
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<br />o GAS D
<br />FINISHED FLOOR ELEVATIONS I
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<br />_JOB ADDRESS
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<br />SUBDIVISION
<br />
<br />....PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />E3
<br />~
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />STEEL D
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<br />\nD~
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<br />OTHER I
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<br />ROOFING
<br />
<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
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<br />W.R.E.C.
<br />
<br />-0
<br />
<br />o
<br />o
<br />o
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />r[;)NO
<br />
<br />
<br />1 . . . . . . , , . I . I , . . . . 1 . I I , . . , I , I I I I I . I I , , , , . . . . I I , , , , . . . I . , . I , , , . . I , , . . I , 'I . , . I I , . . I I , r I , I I 1 . , , , . . I , I . . . I , . . . . I , . I . . , . I . , I I I I I , . . ~ , , , I . . I . , . . . . I , . I I . .
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<br />
<br />~~~~:R~~ I \\~~~~f!
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<br />
<br />License # I
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<br />SPECIALTY D
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<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<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 /> License #
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />OTHER
<br />SIGNA lURE
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />II11111111111111111111111111111I11111111111111111111111I1111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111
<br />
<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 wi Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 />III1111111111I11111111111111111111111I11111111111111111111I111111I111111111111I111111111111I1I1111111111111111111111111111111111111111111111111111
<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 Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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