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Date Received City of Zephy;rhills Permit Application BUilding Department I : Phone Cqntact for. Perml~tlng . Fax-813-780-0021 813-780-0020 Owner's Name Owner phone Number JAR,4J~J<) Owner phone NU~berr I Owner phone Nu~b~r I RLb .Te UQ.( I r -()~VO (0 l.t;J 'ONJ/RIA 2~ I , (c.Af!/t- RO Sv.'J.,( ;, , I I I f(f.:~ELlD.1 ! (OBTAINED FROM PROPERTY TAX NOTICE) . D NEWCONSTR B' ADD/ALT D . SIGN D MOVE' 0 D INSTALL REPAIR PROPOSED USE D SFR D COMM [Z] TYPE OF CONSTRUCTION D BLOCK D. I FRAME D DESCRIPTION OF WORK I rc~f/~AR'i:' OIt'IC t 7RAIU'~ BUILDING SIZE I /()X LlO I sa'FOOTAGE I I ,",C/O I HEIGHT I .. , 11111111...,1,.1.111...11111,11.111111111111111111........11.11..,..11.111..,1111..11......11.1111111111..111..1,11.111111..1111.1111..1111111.111 D BUILDING 1$ VAL~ATION OF TOTAL CONSTRUCTION . I D ELECTRICAL 1$ . AM~ SERVICE ~ PROGRESS ENERGY . D D PLUMBING 1$ l . IIo--l"" - l0).-,.,-<-~w " '-'-' o MECHANICAL 1$ VALl ATION OF MECHANICAL INSTALLATION I I o GAS 0 ROOFING D ISPECIALTY 0 OTHE,R FINISHED FLOOR ELEVATIONS I .. 'I '1 FLOOD ZONE AREA DYES [~NO . 1111111'111111111111'1111,'111111111111111111111111111111111111111111111111'111111111111111'1111'1"111'111'1'111111111111111111111111111111111111 BUILDER I I C'aRt C~~~CTZO,J I SIGNATURE I Y I N I FEE CURRENT I Y I N I L1c~nse # Ie c,.. - (0 Y') ).) () I I I I I r I I I f Owner's Address JJ.(f7 Fee Simple Titleholder Nam~ Fee Simple Titleholder Address I )/ Y j) .-J LOT# I JOB ADDRESS c..t t..4lvlJ SUBDIVISION WORK PROPOSED DEMOLIsH OTHER I T;fI4Z'tcR STEEL D OTHERI I ,. I W.R.E.C. Address ELECTRICIAN SIGNATURE COMPANY REGISTERED YI N I FEE CURRENT Y/N Address L1cens~ # COMPANY .1 REGISTERED PLUMBER SIGNATURE. YI N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CLJRRENT Y/N Address LIcense # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CLJRRENT Y/N License # I . I11I1I11 I11I 'II II 1 III , 1111111111' 1 1 1111 II r II II , 1111111111111111111111111111111111111111 1 111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms. . Minimum ten (10) working daYSafter.SUbmlttal dat~~~ Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) !:iet of Energy forms. ' Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet comPllanc~. '. Attach (2) sets of Engineered Plans.. I ....PROPERTY SURVEY required for all NEW co~structlon. :. , . .. '. .. _ '.' _. '. .. ....., .: ... 1111I1I1I1111111II111111111I111I1I1I11111111111111I1111.,1111.1111111111,1111111111111111111111111111111111111I1111111I11111111111I11I111111II11II Directions: I Fill Qut appll<;ation completely. Owner & Contractor sign back of application, notarized . I - If over $2500, a Notice of Commencement Is required. (AlC up~rades'over $5~OO) - . . . . .. Agent (for the c?ntractor) or Power of Attorney (for the owner) WOU1i' be someone WIth notarized letter from owner author~Jng same OVER THE COUNTER PERMITTING (Front of Application Only) , Reroofs Sewers Service Upgrades NC i Driveways Fences (PlciUSlirvey/Footage) Address COMMERCIAL SIGN PERMIT