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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 />fBj~3
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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 />Fee Simple Titleholder Namel
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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 />Owner's Name
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<br />WORK PROPOSED
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<br />Fee Simple Titleholder Address I
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<br />12>'~3\~~\=-~ 'rl-. LOT# I~~
<br />~"''-J~\\). ~,I PARCELID#~~~\~~~~-~~cb
<br />"""',~ ,(OST AINED FROM PROPERTY TAX NOTI )
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<br />~.~EWCONSTR ~~D/ALT D SIGN D MOVE D DEMOLISH
<br />t::=j.---INSTALL t=1 REPAIR
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<br />PROPOSED USE D SFR D COMM D
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<br />TYPE OF CONSTRUCTION D BL D FRAME
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />DESCRIPTION OF WORK
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<br />BUILDING SIZE I I sa FOOTAGE "'2::5 HEIGHT I I
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<br />~ ' , .. , y .... , , . , , , .. , , . , , , , , , , , , , , . , , . .. . , , , " , , , , , , , , .. I ' , . , , , , , . , , , , . .. , , , , , , , , , , , . , , , , .. , , , .., , , , , , , , , , . , .. , , , , . , . , , , , , , . , . . .. , , , I .. , .. , , , ,
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<br />~UILDING I$~ ~~;:r'l ,I\::) I VALUATION OF TOTAL CONSTRUCTION
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<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
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<br />D PLUMBING 1$ I
<br />D MECHANICAL 1$ I
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<br />D GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
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<br />D
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<br />W,R.EC,
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />~ '- COMPANY'~~~'~~\- D'\-t ~~ \~.I
<br />. ~. 'L- REGISTERED - " Y ~ -y FEE CVRRENT I Y / N T
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<br />L\c)~S\\'c:j(\S~..~\l"~ .1 ~~ License# ~qC\~l~ I
<br />i COMPANY I I
<br />REGISTERED Y / N FEE CURRENT Y / N
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<br />I
<br />I
<br />I
<br />I
<br />I
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<br />I
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<br />BUILDER
<br />SIGNATURE
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<br />Address
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />Address
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<br />License #
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<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
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<br />MECHANICAL
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
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<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
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<br />111111111111111111111111111111111111111111 , 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111'
<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 />Driveways-Not over Counter if on public roadways..needs ROW
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