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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlt AppllCClllUII <br />Building Department <br /> <br />Date Received <br /> <br /> <br />e.-~. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />I LOT # I d 3f02sLl <br />- rJ/., .- ;);- 00 /o-/9.J(;)1) -0 d 3DI <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />Owner's Name <br /> <br /> <br />Owner's Address I )7/ f..p <br />Fee Simple Titleholder Nam~ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />15//(1/ <br />I <br /> <br />SUBDIVISION <br /> <br />p S-;r~ cr- <br />I <br /> <br />D NEW CONSTR D <br />rn INSTALL D <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />DESCRIPTION OF WORK l:T/15 -J.. a.. / / F.{J. tL L <br /> <br />BUILDING SIZE I I SQ FOOTAGE I \ '5 f..o ( HEIGHT I & / <br /> <br />..11..11.....1.11..........................1...1111...........111..1111..........,......11................1111111111.111.........1111111........11 <br /> <br />PARCELlD#1 / / <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D BUILDING 1$ \500, CO I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />BUILDER ~('11 e 0 tJ 11 -e r- I <br />SIGNATURE Y / N I FEE CURRENT Y/N <br /> Address License # I I <br />ELECTRICIAN I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address I License # I <br />PLUMBER I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I LIcense # I <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I License # I <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I License # I <br /> <br /> <br /> <br />11111111'1111111111111'11 11111 " 1111111111 " I " III " I " I " I " II .. , I .. I " III " " " I " 'I , " 11111 " " II " " I " " " I " " II " III " " " I " I " I " I " " III <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 />11111 111111 I1111111 1111111 " 11111111111111111111111111111111 . 111111111111111111111 .. 1111111111111111111 " 1111111 1111111111111111111111111111111111 <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 />