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<br />Date .Received <br /> <br /> <br />City of Zephyrhllls ~ermlt AppllCCllIUII <br />Building Department <br /> <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />tna.'ClO< D'-c <br /> <br />I <br />E3 <br />CJ <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />?,<4025 <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />PARCELID#I \d -a~ - Ol\ - bO'50.- 60000 ,-OO?XJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <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 />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />o <br />o <br />o <br />o MECHANICAL C <br /> <br />;;;SHED :~DR ELEVAT~r <br /> <br />BUILDING <br /> <br />$ <br /> <br />Q3C\O.oD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />CJ <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />PLUMBING <br /> <br />1$ <br />1$ <br /> <br />ELECTRICAL <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />11111.....11.11.111.111...11....11.....11...........1111.11...11.11....'....11......11.....1111.11......111......11..1111..111....111111.......... <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT <br />Address I License # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT <br />Address I License # <br />MECHANICAL <br />SIGNATURE Y / N FEE CURRENT <br />Address <br />OTHER COMPANY <br />SIGNATURE REGISTERED <br />Address <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br /> <br /> <br /> <br />Y/N <br /> <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 onsile, 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 />111111.1111111111111111111111,11111111111,1'11111111111111111111111111111111111111111111111111111,1111111111111111111,1111111111111111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />