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813-780-0020 City of Zephyrhllls t-'ermn Applllii:H1UII Building Department Date Received f 13 - J IJ - irJl J... Owner's Name Owner's Address Fee Simple Titleholder Nam~ Fee Simple Titleholder Address DESCRIPTION OF WORK .~ D D I NEW CONSTR INSTALL SFR BLOCK D D D , of) f? 'I As f J(P~ f I ADD/ALT REPAIR COMM FRAME I LOT ## I JJ JIf-~ ~ - 0/00 --QJ<Jd7- O/S-O (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLIsH JOB ADDRESS SUBDIVISION WORK PROPOSED BUILDING SIZE If; ( "/.! () / OTHER I STEEL [1J 'S ! CLJ HEIGHT I OTHER I aiwn rnl/I'JJ : . I PROPOSED USE TYPE OF CONSTRUCTION 1$ S,J71 (fl. I 1$1. AMP SERVICE 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [=:JNO . 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 . 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 I I I I I I I I I . I ~ . . I I I I . BUILDER Cfe ,,~. <>J COMPANY SIGNATURE . U ~~'-- [~ J REGISTERED (p lPla Fp/'I ~ M. i . ki~ ~ I BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL t:::J PROGRESS ENERGY D W.R.E.C. D D D PLUMBING .f.Jo& MECHANICAL VALUATION OF MECHANICAL INSTALLATION ELECTRICIAN SIGNATURE YI N FEE CURRENT License # Y/ N FEE CURRENT License # YI N FEE CURRENT License # Y IN FEE CURRENT Y/N I I I I I I I I I Address Lic!!nse # COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED I COMPANY REGISTERED I COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE Y/N Address OTHER SIGNATURE Y/N License # 111111111111'11 1111111111111.1111111111111'11111111.'111111111111111111!IIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlillllli1111111'11111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilitles & 1 dumpster Attach (3) sets of BUilding Plans; (1) liet of Energy Forms. Minimum ten (10) working days after submittal date. Required onslle, Constructlon Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. .***PROPERTY SURVEY required for all NEW construction. 1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJIII.lillll.1111111.,lllllllillllllllllllllilllll.,lliiiillllillillllili1IIIiililillilll.illliliiil"iiiii,iiliii Directions: Fill out application completely. Owner & Contractor sign back of applicatlon, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades. over $5000) Agent (for the contractor) or Power of AlIorney (for the owner) would be someone with notarized leller from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A1C Address RESIDENTIAL COMMERCIAL SIGN PERMIT Driveways Fences (PloUSurvey/Footage)