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813-780-0020 City of Zephyrnllls t-'ermlI AppIlCC:lLlUI I Building Department . l1:J Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Owner's Name -Ii MO"'1i11.. Ji1/ U 0 :2./ t::' f!- I LJr? J j LftflL-n '-r,(.Llve -J-;h ;.. ! ,';11 Owner's Address f 1 )..., . (.I I ?Cf. 'f e",' .' $ Fee Simple Titleholder Namrrr1y)~[ ~"Z..-\ e...-- I Q~ "'by-. '& -::k bo \J I D NEW CONSTR D D INSTALL 0 PROPOSED USE D SFR 0 TYPE OF CONSTRUCTION D BLOCK 0 DESCRIPTION OF WORK I 'J.n-s+c.t.Jl...ll-. 'S~ BUILDING SIZE I / D X / [) I SQ FOOTAGE I I HEIGHT I I . . . .. . . t . . . , . . , . . . . , . . , ~ . , . . , . . .. . . . .. . . . : . .. .. .. , . .. . . .. .. . . . .. .. . .. .. .. .. . .. . . . .. . , .. . .. . . . .. . .. .. . . . .. t . . . .. .. . . , .. . . , .. . . . . . .. .. .. t .. , , . , .. . D BUILDING 1$ .;t, , '70 4 8'1 I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING 0 t>~ SUBDIVISION LOT # PARCEL ID#~ -d~ -J 1- 0\ faD - OO<:XXJ - 611 C 'OBTAINED FROM PROPERTY TAX NOTICE) ADD/ALT D SIGN D MOVE D DEMOLISH REPAIR COMM FRAME ~ OTHER STEEL IsH i-b ,'::1)1)/') PIt.A/W;' ~+ : D OTH R I I I JOB ADDRESS WORK PROPOSED VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D ~~~'\: q. ~ ::ht, MfoV ~-h- . ~~ r~ \()r' WR.E,C. VALUATION OF MECHANICAL INSTALLATION FINISHED FLOOR ELEVATIONS SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO BUILDER / SIGNATURE' Col. ~O COMPANY REGISTERED License # Y/N FEE CURRENT License # Y I N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT License # Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address COMPANY REGISTERED OTHER SIGNATURE Y/N Address 111111111111111 '111111111111111111"1111111111111111'11111'1111"11111111111'111'1111'111111'111111111111111111111'111111111111111111111111111111 RESIDENTIAL 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 COMMERCIAL 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. SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction, I I I I I . I I I I I . I I I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I . I I I I I I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I 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 AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways"needs ROW