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813-780-0020 City of Zephyrhllls permit AppllCcHIUII Building Department C)~?\6..Q. Q.ec ~ Date Received Owner's Name Owner's Address Fee Simple Titleholder Nam Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I 1.31553C\ I Oo..~?\ d...a- (f\ \---\' P JOB ADDRESS C'\es(e~ p.,ue- PARCEL ID#I I B o o ADD/ALT REPAIR COMM FRAME o o o SUBDIVISION WORK PROPOSED E1 o o I Re (2.oD~' PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK DESCRIPTION OF WORK BUILDING SIZE SPECIALTY 0 FLOOD ZONE AREA SQ FOOTAGE I LOT # ()2..-~v,-d\- OO~O- 60'300- (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 OO\b DEMOLISH OTHER STEEL I D OTHER I HEIGHT I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY o BUILDING o ELECTRICAL o PLUMBING o MECHANICAL o GAS FINISHED FLOOR ELEVATIONS I I I I o I o D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING BUILDER SIGNATURE Address ELECTRICIAN I SIGNATURE , Address I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED 1111111111111111'111111111111111111'11111'1111111"111"111,,""1111"111""1111'1"11111'111111111'111111IIIIII,I'IIII1111,lllllfllllllllllll1' 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 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. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. RESIDENTIAL COMMERCIAL SIGN PERMIT OTHER DYES DNO Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N I I I I I I I I I I Y/N Y/N Y/N Y/N IIIII ~ 1111.111111 ~IIIII.IIIIIIII ~ 1111111111111111111111111111111111111111111111111.1111III ~ III1II11111111 ~ II i..~ III ~ 111.11111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C 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 A1C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW