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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'erml1 AppllCCllIUI I <br />Building Department <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />tC; (~1I61!!'1"H <br /> <br />S2-I2:V~ <br /> <br />Owner's Address 3Q:3'2 &uA1t.0f.. ~e St-. <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />ewne, Phon. Numbo, I <br /> <br />Owner Phone Number <br /> <br />Fee Simple Titleholder Address I <br /> <br />393'2. <br /> <br /><Q~ 'i2. ti)<, e ~j'; <br /> <br />JOB ADDRESS <br /> <br />~~o <br /> <br />LOT# I {7 <br />OOloC ~J;}o <br /> <br />PARCEL ID#lu "Z.(.. 2' <br /> <br />I <br /> <br />D NEW CONSTR 0 ADD/ALT 0 <br />[RJ INSTALL D REPAIR <br />PROPOSED USE ~ SFR D COMM 0 <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 <br /> <br />DESCRIPTION OF WORK I .J1,rs'r;4-u.,. i2.\J fJA-fZ.It:- ~ez,..... <br /> <br />BUILDING SIZE (~)( Jjf SQ FOOTAGE I 4-~ "xA-~ <br /> <br />SUBDIVISION <br /> <br />HA.::Jl;:srr;,.. ~~ <br /> <br />WORK PROPOSED <br /> <br />(OSTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />I <br />OTHER I ~\J ~""4t:- I-u-"f)..,~ I <br /> <br />HEIGHT I <br /> <br />/(' <br /> <br />....1..11....11.11..11.........11.....11..11..111.....11......111..11.......11...11..111.......1111..111........111........11....111111.........11 <br /> <br />0 BUILDING 1$ ~O(X). tJO I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ 1 <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATiON <br />0 GAS 0 ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11..1111,111111..111111111...111111..11111.1.1.111.......11...'.11.11..11'.11...'.........11.......111......11111...11...11...111.....111..1111... <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />:::Iii 12L T: ~ ~t L.et( <br />I @ N I FEE CURRENT <br /> <br />License # <br /> <br />I~/N I <br />I :I'll ~D53:2 <br /> <br />I2c. ,4( ~ ~' eU!c....-rruc:... <br />I@N <br /> <br />License # <br /> <br />I CiJN I <br />I 13/2. 1301 'Z4-B~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />I.. ~I L.c-;' <br />FEE CURRENT <br /> <br />I &AN I <br /> <br />License # 1:I"rI 0 <:JDD 5""3:;l. <br /> <br />R.c- ,fq2- <br />16') N I <br /> <br />.( 8 L'i:;'..ftl..ic.- <br />FEE CURRENT I (]J N I <br /> <br />License # IOtc /2>(3+22- <br /> <br />Y I N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />1111111111111' 111111111111111111111111 i 11111111 1 1 111111 , 1111111111 1 11111111111111 , 11111 , 11111111111 , 1111111111 , I 1 1111 , ' III , 111111 1 1 , 11111111111111 <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 />11.11111111.1111111111111,1111111.,111111,111,,111111,11111,.11111,11,111,,1111111111,,111111111111111111111111111111111111111111111111111111111111 <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. (A1C 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 A/C Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />