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813-780-0020 . City of Zephyrhllls t-'ermn I-\PJJlllidUUl1 Building Department Date Received -\ 5-0 l!:> Owner Phone Number (]s 13) 7 7q - '11 ;t8 Owner Phone Number! Owner phone Nu~b~r I Owner's Name rt 0 e r- r- Owner's Address I 3 <65";;t !A\A.('e..! Va..lI~13\ vd.. . Fee Simple Titleholder NamJ Fee SlmpleTltleholder Address I SUBDIVISION 3'85:( Wltl"'el Vc.tl\ . e? 1-tL- Qo...ks 13\ vA. . PARCELlD# I ~ Lf- ~~ - .;2[- GOoD - CVIDO - 00'10 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT t# 13Cf JOB ADDRESS B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I CA<2P012\ . BUILDIN~ SIZE Il4=> ( xL/- 3' I SQFOOTAGE I /0 '3''b c:P HEIGHT I S ~ pt~s . . 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 ~ . . . . '.1 . . . 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 . NEW CONSTR INSTALL r=t-' D D ADD/ALT REPAIR COMM FRAME D D D DEMOLIsH WORK PROPOSED SFR BLOCK OTHER I STEEL D OTHER I I I' I [Zg. BUILDING 1$ q ) Y L fR. CO. D ELECTRICAL 1$ D PLUMBING 1$ o MECHANICAL 1$ D GAS D ROOFING FINISHED FLOOR ELEVATIONS I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE t=J PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION Nee..... cu( C- D I SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO I I I I I I I I I License # I I II '11111111111 1'1111111' 11'.1111111111111 , 1111 , , 11I11111111 , 111111111 , I '11111111111111'1'1111" 11111111111111111 , III i 11111 i 11111111; 1111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon 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 onslle, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. . Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construct/on. 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 Ii ~ 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 Iii i I I I I I i I I i I I I I i I i I I I Iii I i I i I I i I I I , i I I Ii. i I ii' i i i Iii i i' Iii i . DIrections: . . Fill Qut appllcaUon completely. Owner & Contractor sign back of appllcaUon, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades. over $5000) Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner ~uthorizlng same OVER THE COUNTER PERMITTING (Front of AppllcaUon Only) Reroofs Sewers Service Upgrades AlC ~<I~t!>~ ~ &L/t/off }6~ 131. J Zephlfrh,Ps Fl. 3351; I I COMPANY I 'Bahr'.s A\/AMIV1l.UM-/ REGISTERED I Y IN. I FEE CURRENT I . Y I N BUILDER SIGNATURE Address L1C!3nse # ELECTRICIAN SIGNATURE COMPANY REGISTERED YI N I. FEE CURRENT Y/N Address License # COMPANY .1 REGISTERED Y/N FEE CURRENT Y/N PLUMBER SIGNATURE Address License # I MECHANICAL SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address License # I OTHER SIGNATURE COMPANY REGISTERED YI N FEE CURRENT Y/N Address RESIDENTiAL COMMERCIAL SIGN PERMIT Driveways Fences (PloUSurvey/Footage)