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<br />813-780-0020
<br />
<br />City of Zephyrhllls t-'ermlt AppllCClLlUII
<br />Building Department
<br />
<br />
<br />Date Received
<br />
<br />Owner's Name
<br />
<br />Owner Phone Number
<br />
<br />Owner Phone Number
<br />
<br />Fee Simple Titleholder Address I
<br />
<br />
<br />~~~~moor ~ELID.I
<br />
<br />
<br />D. NEW CONSTR r=:J
<br />\)s:1 INSTALL D
<br />PROPOSED USE D SFR 0
<br />TYPE OF CONSTRUCTION D BLOCK D
<br />
<br />DESCRIPTIONOFWORK I ~ Dut Ale sYf..fern
<br />
<br />BUILDING SIZE I . ~ SQ FOOTAGE I . I HEIGHT I I
<br />
<br />, . , , . , , . , , .. , , . , , .. , , . , . , , . , . , , . , , .. , .. . , , . : , , . .. .. , , .. , .. , . , , .. . .. , .. . , .. , , .. . , .. . , .. , .. , , .. , , .. , .. .. , .. .. , , , , .. , , , .. , , , .. . , , .. . , , , , , . .. .. . , , . .. ,
<br />
<br />D BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
<br />D ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY -0
<br />
<br />D PLUMBING 1$
<br />
<br />9\f MECHANICAL 1$ S l 00. CfO
<br />
<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />JOB ADDRESS
<br />
<br />I LOU I :
<br />08-~0 ~~I- olao-ooooo -0581) I
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />DEMOLISH
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />ADD/AL T
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />W.R.E.C.
<br />
<br />ROOFING
<br />
<br />D
<br />I
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />
<br />f5?1P-
<br />
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />DNO
<br />
<br />,1.111111......111.1.1111.1,'...111...,'.....111.....1.111....'........11.........11111...11..11.........,............1..11'...'11111......11.....
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />
<br />ELECTRICIAN I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />MECHANICAL 1\ IJ A II A 1'\ if
<br />SIGNATURE ~wr ~
<br />
<br />
<br />Address S
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N FEE CURRENT
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N FEE CURRENT
<br />
<br />Y/N
<br />
<br />
<br />OTHER
<br />SIGNATURE
<br />
<br />
<br />License # ICACO 5& 5 7 f)
<br />
<br />Y / N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />License #
<br />
<br />1111111111111111111111111111111111111111111111111' , 11111111 , , 1111111 , , , 1111111 , I , 11111 . 1111 , 1111 , . 1111I11 " , I11111 , . 1111I1111 , , 1111111111111111111
<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 onsile, 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 onslte, 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 />11111111111..111111111111111.111111,,1111111111111111111..llllllllllllllllllllllllllllllllllllllllllllll,111111III11111111111111111111111111111111
<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. (Ale 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 AlC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
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