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<br />813.780-0020 <br /> <br />City of Zephyrhllls Pennlt Application <br />Building Department <br /> <br />Fax-813-780..oo21 <br /> <br />Date Rec:eIYed <br /> <br /> <br />>~ <br /> <br />o-er Phone Number <br />O_r Phone Number I <br /> <br />Own... Phone Number I <br /> <br />Own.... Name <br /> <br />Owner's Add..... <br /> <br />Fee Simple TIlIeholel... Name I <br /> <br />Fee Simple TIlIehOlder Add..... <br /> <br /> <br />^ c..k LOTlll I 23 <br /> <br />PARCELIDlJII~-l'r I' - 0 110. o{)ooo .. 0 l S 0 <br />(OBTAINED FRDM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING 1$ 110, 000 <br />~ ELECTRICAL 1$ <br />~ PLUMBING 1$ <br />~ MECHANICAL 1$ <br />D GAS ctj ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE ;}OO <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />!IJW f- ~ <br />4WA~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />I ~~ ~~~:~ <br /> <br /> <br />License # I <br /> <br />I6aH Pc.~,O {;(e<. <br />~ FEE CURRENT L.:!:.!.!:LJ <br /> <br />L.:!:.!.!:LJ <br /> <br />Add..... <br /> <br />ELECTRICIAN 1 <br />SIGNATURE . <br /> <br />Add..... <br /> <br /> <br />~~::r~~E I. rMI f ~ <br /> <br />Add..... . <br /> <br /> <br />:I~~~~~~:L 1/lkJ I<- ~~ <br /> <br />Address <br /> <br />~~~~~URE Ilji,p f- ~~ <br /> <br />Add..... <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />D~ <br />Y/N <br /> <br />w: l \~ ltho s .p((,f""b. <br /> <br />FEE CURRENT ~ <br /> <br />License # I <br /> <br />5~-\ker'" Co,,,, (o,d <br />~ FEE CURRENT L.:!:.!.!:LJ <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />I (2.~ ~:R~~"' 5 L.:!:.!.!:LJ <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after SUbmittal date. Required onsite, Construction Plans, Sanitary Facilltias & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) working days after submitlal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must ~t compliance. <br />Attach (2) sets of Engineered Plans. <br />HHPROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DIrections: <br />F~I out application completely. <br />Owner & Contnlclor sign back of application, notartzed <br />If over $2100, a Notice of Commencement I. required. (AIC upgrades over $10001 <br />Agent (lor the contractor) or Power of Atlomey (lor the owner) would be someone with notarized Ieller from owner authorizing same <br /> <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AIC Drtveways Fences (PIotISurveylFootage) <br /> <br />Pko'1) <br /> <br />0", <br /> <br />F:k <br />