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<br />813-780-0020
<br />
<br />City of Zephyrhllls l-'ermlI AppllCClLlUII
<br />Building Department
<br />
<br />Date Received
<br />
<br />
<br />
<br />
<br />MiUe..
<br />Owner's Address I (P 1 ?;O
<br />Fee Simple Titleholder NamJ
<br />
<br />OM
<br />NOY Jh I a. ke.. 'Dr'
<br />
<br />Owner's Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number I
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />ft; '730
<br />
<br />Noy..}h la~
<br />
<br />I PARCELlD#1
<br />
<br />D NEW CONSTR C1 AD DIAL T D
<br />D INSTALL l..XI REPAIR
<br />PROPOSED USE D SFR 0 COMM D
<br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D
<br />
<br />DESCRIPTlONO,WORK I c.hj out Ale S!js1-eA'Y\
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<br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I
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<br />, , . , , , . , , , , , , , , .. , , , , , , , , , , , . , , . , .. , , , .. , , , : , , .. . , .. , . .. , , , .. . , , .. .. , , .. . .. .. , .. . , , .. , .. . , .. . .. . , . .. .. .. , .. , , , .. . , , , , , . , , , , . , , , , , .. .. . .. , .. .. , , , , ,
<br />
<br />D BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERG~
<br />
<br />D PLUMBING 1$
<br />
<br />~ MECHANICAL 1$ 6000 00
<br />
<br />D GAS D ROOFING
<br />FINISHED FLOOR ELEVATIONS I
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<br />JOB ADDRESS
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<br />SUBDIVISION
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<br />WORK PROPOSED
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<br />LOT #
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<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />o
<br />
<br />OTHER I
<br />
<br />D
<br />
<br />W.R.E.C.
<br />
<br />OTHER
<br />DYES
<br />
<br />
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />o
<br />I
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />ONO
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<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />
<br />Address
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Address
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
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<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License # I
<br />
<br />C&~<;: A~"~~~i
<br />License # I CACoSFS'75
<br />
<br />Y I N
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />License #
<br />
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<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 ali NEW construction.
<br />1111111111111111111111111111111.11111111111111111111111111111,111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<br />Directions:
<br />Fili 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 NC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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