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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlI AppllCc:HIUII <br />Building Department <br /> <br />Date Received <br />111111111111111 . <br /> <br />OWner's Name <br /> <br /> <br />/7LeJ <br /> <br />C. /"1-/ <br /> <br />.;:;f- <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address S- t ~ ftJ <br />Fee Simple Titleholder NamJ <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS ~:26 <br /> <br />-::z.Q) ~SJ- <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D FRAME <br /> <br />-;-r;~ ~ <br /> <br />I SQ FOOTA~E <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />OTHER I 'J'-'/O-"v ~C C~~~~ <br />D STEEL D OTHER I S <br /> <br />Ch4~~ ~ I <br /> <br />I HEIGHT I <br /> <br />D <br />D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />....11.............11............11..............111....11..11....11...................................11111...111...11...11.....11.'111.......111 <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ ?j9 ?s:-~DI VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />'....11..111.'...11............111.11......'.'.'11....111..11.111....11.....'.....11.......111....111..1111.111111...11..111...111111..........111 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />License # I I <br /> <br />11f~~N<S ~~~~ ~~f,cAt/~ <br />/~ <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <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 />MECHANICAL ! <br />SIGNATURE . <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />?~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />FEE CURRENT <br /> <br /> <br />License # <br /> <br />License # <br /> <br />111111111111111111111111111111111111'11111111111111111111111'111111111111111111111111111111'11111111111111111"111111'1111111111111111111111111111 <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 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111.111111,111111111111111111111111111111.1111111111111111111111111 <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. (Ale upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone wilh notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Nol over Counler if on public roadways..needs ROW <br />