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<br />813-780-0020 <br /> <br />City of Zephyrhllls I-'erml! f\ppllCCllIUII <br />Building Department <br /> <br /> <br />Date Received <br /> <br /> <br />Owner's Name C" <br /> <br />OWner's Address I 3 7 0 l).f <br />Fee Simple Titleholder NamJ ' <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 39'0 a I <br />I <br /> <br />~3 @ f)t/.c <br /> <br />I <br />~ <br />CJ <br />D <br />DESCRIPTION OF WORK I me.. fA L to IJ J"::' <br />BUILDING SIZE 130 ~ I ~ 0 I SQ FOOTAGE I /;{ OCJ Stj ,::-11 HEIGHT I ~ F 1- I <br /> <br />...........,.................,.~~.........:...................................:................................................,................. <br /> <br />D BUILDING 1$ 1 Roo. (JO <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />DGAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />.0 <br />~ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />z ~p;/ iedlL L '- LOT # <br /> <br />PARCEL ID#I tz.- ~-Zl ~ row -()3lf6D ." 0000 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />AD DIAL 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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />.OU,- <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNA lURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />~IL <br />YI N I <br /> <br />() OJ J..) q. <br />FEE CURRENT Y I N <br /> <br />License # <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />1111 11111111111 111111111 11111111111111111111111111111111111111 . 1111 . 11111 . III . 1111111 . III . 111111 , 111111111111111111111111111111111111111111111 'II <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 onsite, 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 />IIIIIIIII ~ II . 1IIIIIIIIIlII .11111111 II 111111111111 U 11111111 d II . 111111111 U 1111111. III . III H .. . 11111 H III ~ II i I . HI. III H II . 1111111111 &11111 i IIIIII <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />