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<br />813.780-0020 <br /> <br />City of Zephyrhllls Pennlt Application <br />BuDding Depanment <br /> <br />Fax-813-780-OO21 <br /> <br />Dille Received <br /> <br /> <br />~~ <br /> <br />Owner Phone Number <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Add.... <br /> <br />Fee Simple Tllleholder Name I <br /> <br />Fee Simple TItleholder AckIresa <br /> <br /> <br />(2.0.1" (...1.... {)/. . LOU I 2 S" <br /> <br />PARCELI0I1I114-2G:.'JI. 0\10- O{)OOO'02rO <br />(08TAJolEl) FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUC11ON <br /> <br />t::1 <br />l:KI <br />~ <br />15~R. <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />E3 <br />CJ <br />CJ <br /> <br />SIGN D <br /> <br />MOVE D <br /> <br />DEMOliSH <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />sa FOOTAGE II t:, q 2. <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />~ <br />~ <br />~ <br />~ <br /> <br />D <br /> <br />1$ '30.6100 <br />. <br /> <br />1$ <br />1$ <br />1$ <br />GAS ~ <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE ')00 <br /> <br />fjZj <br /> <br />PROGRESS ENERGY <br /> <br />D W.R.E.C <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />::: ! 1fJ /<- ~ <br />=.':" IIlUI It ~e <br /> <br />Add.... <br /> <br /> <br />:~=~E I./IW It rip.. <br /> <br />Add.... . <br /> <br />COMPANY <br />REGISTERED <br /> <br />R.~1 <br />/ N <br /> <br />La", S't . <br />FEE CURRENT ~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Ucense # <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />FEE CURRENT <br /> <br />Ucense # I <br /> <br />I S ~f t"'\ LO",,(or.o\- <br />Y I N FEE CURRENT ~ <br /> <br />License # I <br /> <br />Add.... <br /> <br /> <br />t2~r <br />/ N <br /> <br />!~f/~~ <br /> <br /> <br />Ucense # I <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />Add.... <br /> <br />RESIDENTIAL <br /> <br />AIllIch (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) wor1<ing days after submittal dale. Required onsiIe, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) wor1<ing days after submittal date. Required onsite, Construction Plans. Sanitary Facilities & 1 dumpster <br />All commen:ial requirements must ~ compliance. <br />AIllIch (2) sets of Engi~ Plans. <br />""*"PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DlrectI_: <br />FUI out application completely. <br />Owner & Contractor sign back of application, notartzed <br />If over $2600, a NotICe of Commencement IS required. (AlC upgrades over $10001 <br />M Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authofizing same <br /> <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades Me Driveways Fences (PIotJSurveylFootage) <br /> <br />r\u"' ~ <br /> <br />197'\ <br /> <br />F: le <br />