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<br />81' 3-780-0020 <br /> <br />City of Zephyrhllls j-Jermn AppllCcHlurl <br />Building Department <br /> <br />, .. <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Date Received <br />. <br />11111111111 <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address I <br /> <br />53;;,0 <br /> <br />I LOT# I <br />PARCELID#II::<-~0-~I-OO~O -00300-00QO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />StL-ts Utn CL/ <br /> <br />I <br /> <br />EJ NEW CONSTR ~ ADD/AL T D <br />INSTALL t=I REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I cJ,.tt_P ut Ale ~.eJIYI <br /> <br />BUILDING SIZE I ~ SQ FOOTAGE c:::== HEIGHT I <br /> <br />.11.11..11.111.11..11.......11....111.11..11.............111.......1111..........1111..............1111..111...............11111.....11........111 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />0 BUILDING 1$ 1 <br />0 ELECTRICAL 1$ I <br />0 PLUMBING 1$ I <br />~ <br />MECHANICAL 1$4-900,00 1 <br />0 GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />'....111.11.'...111.1111'..'.....".11..........11....111"11111"'1111'11111"'1"'11"""1111111111111'"..11.111....111111....11111111.1111111 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />~ <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />I cr~~SNI 1A-/~EC~Nr;vP~i I <br /> <br />License # I CACOS&515 <br /> <br />Address <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 11111111111111111111111111111111111111111111'11"11'"1111""'11111111111111111111111111111111111111111111111111111111111I1111111 <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 onsite, 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 on site, 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 />11111111111111111111111111111111111111111I111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11 <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. (AfC 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 A/C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />