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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlI AppllCClLlUII <br />Building Department <br /> <br />qate Received <br /> <br /> <br />~fY\ <br />OtLkcr~S+ ~ <br /> <br /> <br />Owner Phone Number <br /> <br />Owner's Name <br /> <br />Owner's Address illEl. 5 <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number [ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I to 84- 5 OtLk crest <br />I <br /> <br />SUBDIVISION <br /> <br />~aAj ~ LOT# I <br />I PARCELID#I D~ -t?~-Dd.30 -DOtJOO- 0010 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR CJ ADD/ALl D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I ~ au1J At G UJ1 if' <br /> <br />BUILDINGSIZE I ~- f SQ FOOTAGE I HEIGHT I <br /> <br />1.1......,.1111111111....,.1...11111..11..111..,....1.11..........11..11.........111.....11...................11........11..1111....111..1111111.. <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D WR.E.C. <br />D PLUMBING 1$ I <br />~ <br />MECHANICAL 1$ 3500. 00 I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />".1,111,1111111"""..11.....111,.1.11111,.1.1111.1...111.".111.111.'11"...111......11..........111..,......'...1111....1111111111.....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 />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address L <br /> <br />MECHANICAL! 1\ IJ A II II" A <br />SIGNATURE . <1l/WYl,..{L.,- <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />r7"JlV is / Al6 Co tlWt[..h J <br />I ,'~ I N I FEE cURRENT'. I Iv, N I <br />License # I GfJCO E;g 5'1 !)' <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />II 11111111111111111111111111111111111111111111111111 , 11111111111 , Ill' 1111111111111111111111111111111111111111111111111111111111111111111111111 , ' II <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 onsile, 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 />II 111111 I . 111111111111111 111111111111111111, 111111111111 . 11111111111111111111111111111111111111111111111111111111111111111111111 111111111111111111 <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. (AlC 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 NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />