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<br />813-780-0020
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<br />City of Zephyrhllls ~ermlt f\ppllCcHlUII
<br />Building Department
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<br />Owner's Name 11 f7Y--L-b
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<br />Owner's Address I 4 Lf J S
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<br />Fee Simple Titleholder NamJ
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<br />M (' C- Gj.) C (.:.
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<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number I
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<br />Date Received
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<br />Fee Simple Titleholder Address
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<br />LOT #
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<br />JOB ADDRESS
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<br />PARCEL ID#lu
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<br />2& It 0('10 /S")f)O GirD
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE l:ZJ' DEMOLISH
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />D
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<br />D
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<br />OTHER I
<br />STEEL D
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<br />SUBDIVISION
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<br />E3
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<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION D
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<br />DESCRIPTION OF WORK I f(. & - /( 0 0 ;:1 ';J (p
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<br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I
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<br />, . , , , , , , , , , , , , .. , , , . , , . , , , , . , , .. , . , , , .. , , , .. , , , .. .. , .. .. .. , .. . , .. .. . , , .. , , . .. , .. . , .. , , , .. , .. , , , .. , , .. .. . , , , .. .. , , .. .. , , , . , , , .. . , , , .. , .. . .. . .. . .. . ,
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<br />o BUILDING $ 4 I tJ [! I lJ <J VALUATION OF TOTAL CONSTRUCTION
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<br />o
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<br />o PLUMBING 1$
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<br />o MECHANICAL 1$
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<br />o GAS m-- ROOFING
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<br />FINISHED FLOOR ELEVATIONS I
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<br />WORK PROPOSED
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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
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<br />OTHER I
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<br />ELECTRICAL
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<br />$
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<br />AMP SERVICE
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
<br />DYES
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<br />DNO
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<br />BUILDER
<br />SIGNATURE
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<br />COMPANY
<br />REGISTERED
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<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
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<br />Y/N
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />ELECTRICIAN
<br />SIGNATURE
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<br />Y/N
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />PLUMBER
<br />SIGNATURE
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<br />Y/N
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />MECHANICAL
<br />SIGNATURE
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<br />Y/N
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<br />FEE CURRENT
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<br />License # I
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<br />FEE CURRENT
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<br />Y/N
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<br />Address
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<br />1111'11111111111'1111111111111111111111111111111111111'1'1'1'11'111111111111"111111'11111111111'111111111111111111111111111111111111111111111'111
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<br />License #
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<br />Address
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<br />COMPANY
<br />REGISTERED
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<br />OTHER
<br />SIGNATURE
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<br />IIIII J I H II. ~ IIII d IIII . ~ IIIII H III1 ~ 111111111111 ~ III1 U I H II . III H II H III H II H 111111111. &II. III H 1I11 II III i 111111 ~ 111111 ~ 1111111111111111 i 111111
<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)
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<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
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<br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
<br />Minimum ten (10) working days after submittal date. Required onslle. Construction Plans. Sanitary Facilities & 1 dumpster
<br />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 />Attach (2) sets of Engineered Plans.
<br />**"PROPERTY SURVEY required for all NEW construction.
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<br />RESIDENTIAL
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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