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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlI f\ppIlCClLlUI I <br />Building Department <br /> <br />Date Received <br /> <br /> <br />I <br />I <br />I <br />3QLJCO ~~Av~ I LOT# I -A. I <br />I PARCEL 10# II d. - "d.-(O - :;:{ ( - cx:x:i:) ~ D4crCC). oobo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR c::J ADD/ALT D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK I-=r:::" :':,~cU2.J> :::, W CI. S^- "'> I 0 d <br /> <br />BUILDING SIZE em ~ SQ FOOTAGE I HEIGHT <br /> <br />1$ YO<i?d-. 05 <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />\~s\Y\ ?'li-3 <br /> <br />Owner's Address I ::84315 f!l A-v-L r20Y-..'~ ,43 -Zc-PY\f\.AI Hs?wner Phone Number I <br />~ I 33CSY& I <br />Fee Simple Titleholder Nam N \ A Owner Phone Number <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />. AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />t0DL- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE ARE <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~2n(l/Jt o/I/~ <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> FEE CURRENT <br /> License # <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 /> License # <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />11111I111I11111 111111111111111111111111111111111"11111111"1111111111111111111111111111111111111111111111111I111111111111111'1111111111111111111 <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 />1111.111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II111I111111111111111111111111111 <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 />