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<br />813-780-0020 <br /> <br />City of Zephyrhllls Permit Application <br />Building Department <br /> <br />Fax-813.780-0021 <br /> <br />Owner's Name <br /> <br /> <br />......._-"'_..~~ '.~:. <br />ownerphone~=e:~14~ <br />OWner Phone Number 15?1~-'lq - dlL/lc 1 <br />Owner Phone Number IR \~-llq ... ~ll\lO <br />I <br />1~IIDL.\C1\J UJtc.m c-A"J Q I LOU Il~~ I <br />PARCEL lOll I ~ 4 - d5- a I ... OOc'o- CJ1:iiJ.- I !5$ 0 <br />(OBrAltED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />V"\\<:t <br />Lola <br /> <br />D.. Rllcelvllll <br />_'-.u <br /> <br />OWne". Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Addr... <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />&a.ncLH<H'zons .1 <br /> <br />E3 NEWCONSTR E3 <br />INSTALL <br />PROPOSED USE D SFR 0 <br />TYPE OF CONSTRUCTIOfI D BLOCK 0 <br /> <br />\"II <br /> <br />ADDIAL T <br />REPAIR <br /> <br />D <br />ill <br />D <br /> <br />DEMOUSH <br /> <br />WORK PROPOSED <br /> <br />r <br /> <br />COMM <br />FRAME <br /> <br />OTHER <br /> <br />STEEL <br /> <br />o <br /> <br />OTHER <br /> <br />{ <br /> <br />BUILDING SIZE SQ FOOTAGE I HEIGHT I <br />!i.Wi!C~:=~~~~~~--.3~:.il'"~:<Ii~-g~~....3t:::~~_=~~~~~ <br /> <br /> <br />1$ ~ 1IjS.,$ I <br />1$ I <br />1$ I <br />1$ I <br />o GAS ~ ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [2fNO <br /> <br />~~~~_-.r_~__!ir'''''':iii'.i'L_!l!fl!_jj)!_i!~~!f.j <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br /> <br />o <br /> <br />o <br />o <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED l..2:..L..!:U FEE CURRENT I YIN I <br /> License # <br />COMPANY <br />REGISTERED l..2:..L..!:U FEE CURRENT I YIN I <br /> License # <br />COMPANY <br />REGISTERED l..2:..L..!:U FEE CURRENT I YIN I <br /> License # <br />COMPANY <br />REGISTERED l..2:..L..!:U FEE CURRENT I Y IN I <br /> License # <br />COMPANY \flC.. <br />REGISTERED <br /> <br /> <br />Add..... <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 />Address I <br /> <br /> <br /> <br />~:': ~ll f,\~c1 ' C_. I <br /> <br />~-____~~~~~...."li'~~;:.:;,~ <br />RESIDENTIAL Attach (2) Plot Plens; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required ons~e, Construction Plens. San~ary Facil~ies & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (l)set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsile, Construc:Uon Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. ' <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />...."..PROPERTY SURVEY required for all NEW construction. <br />~~~:~--'~1iRi-~-<~-=Z:~~~~~~~~~RHi'~!.~~h~~~.w....~:X~;~j <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If oyer $2500, a Notice of Commencement is requirllll. lAIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner <br /> <br />OVER TIlE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upg<ades AlC <br /> <br />Driveways <br /> <br />