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813-780-0020 City of Zephyrhllls t-'ermlt AppllCi:tlIUII Building Department Date Received y . do L-\ - O(P Owner's Name ;) 't::Y D)U\"0--t-r '\~do Q( V c9wner Phone Number Owner's Address I ~4 3C) S+-::... Av~ €bx. ,)....,L( ~ ~hf'1~hone Number I Fee Simple Titleholder NamJ I ~~~~~umber I I I ! .:So~ AJR... I LOT# I I I PARCEL ID#I/d-d-(P - :J../-(XX:D - OLf1C(). CO:'::;O I (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR D ADD/All D SIGN 0 MOVE D D INSTALL D REPAIR PROPOSED USE D SFR 0 COMM D OTHER TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL 0 OTHER I DESCRIPTION OF WORK ~/1sfa-PJI II~ +n I()~A )~~ -jo'. sp/f1d BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I . . , . , . . . , , . , . . .. . . , . . .. . . . . . . , . . .. . . . . . .. . . : .. . . . . . .. . .. . . .. . , . . .. . .. . .. .. .. .. . .. . .. . . .. . . . , . .. .. . .. .. . .. . .. . . . .. . . . .. . . . .. . . . .. , . . . . . . . . . . . . . . . . . o BUILDING 1$ o ELECTRICAL 1$ ~ PLUMBING 1$ ~,ce- O MECHANICAL 1$ o GAS D FINISHED FLOOR ELEVATIONS I JOB ADDRESS Fee Simple Titleholder Address I 13g~OO I SUBDIVISION DEMOLISH WORK PROPOSED VALUATION OF TOTAL CONSTRUCTION AMP SERVICE '-\ 1:1~ low o PROGRESS ENERGY D W.R.E.C. ,'W-'d ~(JP'(')IJo.JL 'fj-CJ"Y'"'I'""\ "Tn Y'\~ . VALUATION OF MECHANICAL INSTALLATION ROOFING o I SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO 1..111111111......11.1111.......11...............11...11"........11.....................................1111111111111111111111....1111111111..... :~~~~~RE !7JJ?Ufl ~d&- I Address . ELECTRICIAN I I SIGNATURE . Address I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I COMPANY REGISTERED Y/N FEE CURRENT License # Y / N FEE CURRENT License # YfN FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N 1111111111111111111I11111111111111111I111111111I111111Itllll'IIIIII'IIIIII"IIII'IIIIIIIIIIIIIII'11111111111111111111111111111'1111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. ' Minimum ten (10) working days after submittal date. Required onslte. Construction Plans. Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 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 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 I I I I I I I I I I I I i I I I I I I Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW