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813-780-0020 City of Zephyrhllls Permit AppllcaIlon Building Department rd^-U I\J-' UU-UUL I Date Received Owner's Name tJ U V -Q... \r . Owner's Address 1101.(003 ~ l-t, lls t\... ~\\I-{I~\t\'C.uo--Q3.1sz%wnerPhone Number 16 7/-c::L8 ~3 Fee Simple Titleholder Nam~ I Owner Phone Numb~r I JOB ADDRESS Fee Simple Titleholder Address I ~ 50? ~~ I t~51~ (p 1.f4 0 PARCEL ID# I \2~ 5+ LOT # SUBDIVISION I c=J ADD/ALT 0 [=:J REPAIR D COMM 0 D FRAME D I ~l\ l '0-)-\ 2-/'-( ~ ~\ rei SQ FOOTAGE I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 I D DEMOLIsH WORK PROPOSED B D o NEW CONSTR INSTALL SFR BLOCK OTHER STEEL OTHER I I I' I PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE 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 HEIGHT I D 1$ I I$~oc ~DI 1$ I 1$ I D GAS 0 ROOFING D FINISHED FLOOR ELEVATIONS I I BUILDING VALUATION OF TOTAL CONSTRUCTION og ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E.C. D D PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO '...1111111"111'1111111111111..11111"111111111111111.111...11..".....11...'111..111.11.....111......11,..11111..11111,11111111.111111111......1 Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Address License #' I lP~ ()~~ p~C!.~I~ . r~y I N I FEE CURRENT I License # I Y/N Address ELECTRICIAN SIGNATURE PLUMBER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Address MECHANICAL I SIGNATURE , Address I OTHER I SIGNATURE Address I COMPANY REGISTERED Y/N I COMPANY REGISTERED Y/N RESIDENTIAL II II I I I 11111 I I III I III I II I II , III . I1II I I I III , I 1 , IIIIII II , , III , , III , 1I11I ~ II , I11III1 , 1II1111 , III , 1II1 , 11111I , 1I11111II11 i II III11 , , , 1I1I11111 , , II , IIII COMMERCIAL Attach (2) Plot Plans; (2) 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 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. SIGN PERMIT II.'.. I ~ ~ II. III. I ~. II ~ II ~ I ~ ~ ~ 111111. III. I ~ .1.. 1.11 ~. ~. .I'~. .11.. III L II. .11.111111 J III1III1I i II1III i III1II1II i 1IIII i I i II. III ~ IIIIIII ~ II i I J i i IIII ~ II i i DIrections: Fill Qut appli<;ation 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 Driveways Fences (Plot/Survey/Footage)