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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlt f\ppllCCllIUII <br />Building Department <br /> <br />Date Received <br /> <br /> <br />\=\ OlCk. <br /> <br />..A. P P \ t. 91 ~ t-c. <br /> <br /> <br />:Dr <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name t~ Ie <br /> <br />Owner's Address 17 2- I 1. <br /> <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address I <br /> <br />Ill. I '1- Apt'> i.t G,4 K <br />1A7hc< tA/1o/ <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I fZ.e rC?O -I v/ / VL '30 '-// t>y- J. I' ~ ~ (c) 'Vt a.../ <br /> <br />BUILDING SIZE I I SQ FOOTAGE I J-boD I HEIGHT I I <br /> <br />. 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 /> <br />o BUILDING 1$]0 L ).ULJ I VALUATION OF TOTAL CONSTRUCTION <br /> <br />, <br /> <br />o ELECTRICAL 1$ I <br /> <br /> <br />o PLUMBING 1$ I <br /> <br /> <br />o MECHANICAL r I VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />D GAS 6 --;OOFING D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />D <br /> <br />\)y- <br /> <br />PARCEL ID# 13S ~ 2- 5"~ 2 J -oo,} () -uoooo ~ 0 I It:; 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />1'1111,"""'.11"111'1111.'1""'1""'11"""'1'1'..........,......'11.".........111.........11............111....1.....1.......1111111111111 <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 /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address 3,:, 0 l 0 S Vl- S--L (.)0 r,;o)... I t~ License # Ice C 0 S-7 9 S-) <br /> <br />111111111111111 111111111 I 11111111111111111111111111111111111111 , ' 11111111 " 111111111111111111111111111111111 ' , III " 1111111111' 1111111111111111' II <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 onslte, 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 onsile, 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 />1111111111111111111111111111111111,,1111111111111111111111111111111111111111111111,111111111111111111111111111111111111,11111111111111111111111111 <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 />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <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 <br />