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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermrr AppllCcHlU11 <br />Building Department <br /> <br />&Wg <br /> <br />)0 f-J1 Sf <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />?tJ /y<-/y <br />999 15:/0. <br /> <br />- <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ,7e11~ <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />i'/licU UJi CuJeA. {bJ~- <br />I <br />B <br />o <br />o <br /> <br />~:lO~ laW' S\ <br /> <br />PARCEL ID#I C>'d - d(P-d l- OO'tSO. (!)b2C5b-OcF70 <br />(OBTAINED FROM PROPERTY TAX NOTICEI <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />...11...........111.........11....11..11..11................11........................11.111.................1111..111..11...1111....1111.....111. <br /> <br />B <br />D <br />GZI <br />ILJr~~ d ~lu c~ \.c:.-v--. <br /> <br />I SQ FOOTAGE I <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br />5Jc- <br /> <br />BUILDING SIZE <br /> <br />c:e ~n~cJL <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />0' <br /> <br />1$ <br />1$ <br />o PLUMBING 1$ <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />l.\ DD. 00 <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />....11..111.'111.'.......11.111111.......11'11111......1,,111,1.111..111111111.1.1.111111..1111111111111......1111111.......11.'.11.111....11...11 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN !(~ ~ 0",. <br />SIGNATURE .1Q~ <br /> <br />Address <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />ALNI-1~1 <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />1111111111111111111111111111111111111111111111111111'1111111111"1111111111111111111111111111'111111111111111111111'111'11111111111'11111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction 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 />I I I I I I I I I I I I I I I I I . I j I I I I I I I I I I I . I I I I I I I I I I I . I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I . I I I I . I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I I I <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 <br /> <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 <br />