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813-780-0020 City of Zephyrhllls I-'ermlt AppIlCC:lLlUII Building Department Date Received 5-5 -O((J Owner Phone Number 91.3 - 7Sg-'/O!i"':J Owner Phone N~ter 19JJ - ~.z - ~v9:z.. Owner Phone Number I Owner's Address IS) I '{ Fee Simple Titleholder NamJ F~r"c.k D. G";Vldle... (, Tj, ST;ee.t- kl~y,t,.I/S Owner's Name kjP/'t,L://s I PARCEL 10#1 11- 2(;. - :2(- 00(0. oz.7~ - 0170 (OBTAINED FROM PROPERTY TAX NOTICE) D NEW CONSTR E3 ADD/ALT 0 SIGN D MOVE 0 CJ INSTALL REPAIR PROPOSED USE 0 SFR I X I COMM 0 TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 IT ..,.. If 1?l Po' Avttl2..",,,,.., #..~r DESCRIPTION OF WORK A-" e , " '\ 0" '7 BUILDING SIZE I ,AJ J t+ I SQ FOOTAGE I fo.J / * I HEIGHT I 50 ' I , . , . . . . . , , . . . . . . . . .. . . . . . , . . . . . . . . . . .. . . . . . : . .. , .. . . .. . .. . . . . . . . .. . . .. . .. . . . .. . . . . . .. . . . .. .. . . . .. . .. .. . .. .. t . . .. . . . . . , .. . .. . . . . , . . .. . . . . . . . . . . . .. . o BUILDING 1$:2 000 . c:,O I o ELECTRICAL 1$ I o PLUMBING 1$ I o MECHANICAL 1$ I o GAS 0 ROOFING D ISHED FLOOR ELEVATIONS I I LOT # ! I", ,~ 19~ I JOB ADDRESS Fee Simple Titleholder Address I 1..s7/~ C, 0 sr.-t - I SUBDIVISION DEMOLISH WORK PROPOSED OTHER STEEL I D OTHER I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO COMPANY REGISTERED I OV/Il.df~ I Y / N I FEE CURRENT License # I Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED MECHANICAL SIGNATURE Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N Address COMPANY REGISTERED PLUMBER SIGNATURE Y/N Address COMPANY REGISTERED Y/N Address COMPANY REGISTERED OTHER SIGNATURE Y/N Address I1111111 "11111 1111" 1I11 11111 " II , , I i I111 " III " II1I111 " " " I " II' , , " " I " 1 " " " " I " I " 1111111 " I " 11111 " I111 " , " " 111111 " 111111111111 " I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, 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 onsite. 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, J IIII 11111111111111 I IIII . 11111 ~ ~ 11111111111 ~ i I1111IIII H ~ 1111111 H 11111111111 II 11111111111 ~ H 1111 . .II II II I II ill II 111111 & III &1111111111111111111111 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 NC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways"needs ROW