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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlI AppllCClllUII <br />Building Department <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's 'Name <br /> <br />s <br /> <br />S~ <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address I <br />50 .1.1 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />11tt-. .5 f- <br /> <br />I <br /> <br />D NEW CONSTR D <br />D INSTALL D <br />PROPOSED USE D SFR 0 <br />TYPE OF CONSTRUCTION D BLOCK 0 <br /> <br />DESCRIPTION OF WORK I /l--t 1'00 I- l..A./ / t:L <br /> <br />BUILDING SIZE I I SQ FOOTAGE I ,/3 .5"1 <br /> <br />111...1.""""",.",1.11111.,'11.,.1......111....11.....11111111.................11......1111.....111111.....'1..1111..11.......11...........11 <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10# 11/- L ~ - L i - 6 () I () .- 2 I 300 - 0 (} q 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />75 <br /> <br />Y-<:'ctv <br />, <br /> <br />0 BUILDING 1$ 2 "3 YD , 0 () I <br />0 ELECTRICAL 1$ I <br />0 PLUMBING 1$ I <br />0 MECHANICAL ~ ~FING I <br />0 GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DI '/lA-{.//tJ' I o~ ( <br />HEIGHT I I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />1....111........11..................'..1...11111.11...11........................1.................11....11..1111...1111.1111.11111111.111......111 <br /> <br />7), <br />IN <br /> <br />License # I ('" C ( 0.)" 7 7')' 7 <br />I11111111I11111111111111111111111111111111111111111111111111111"1111111111111111"11111111'11111111111111111"11111111111111111111"'111111111111 <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 Facililies & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte, 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. <br />1111111111,1111111111111111111111111111111111111111111111111111111111111111111111111111,1111111111111111111111111111111111111111111111111111111111 <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 />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />~----- I <br /> <br />1'~3o (() Sa.)'2 SIH0 fiN ,of13:3 S70 I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />License # <br /> <br />I <br />~L' <br /> <br /> <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />