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<br />813-780-0020 <br /> <br />City of Zephyrhllls t-'ermlt AppllCClLlUl1 <br />Building Department <br /> <br />I.....'" ...,... ........ ......._. <br /> <br />p- ftllet <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address I ,31} 533 t,,() fe.Y1tt AtAv <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />5lU'1'\h <br />&v-M1lL Uurl---u;r.S <br /> <br />I LOT# I <br />PARCEL 1D#f3Lf - ~ Ei -.? t - ooct 0 - 00000 - II Of) <br />10BTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />WORK PROPOSED <br /> <br />5r <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WI aRK I C~ <br /> <br />BUILDING SIZE . 3 <br />..11..1111.111.....11111111.11.11.11..11......11..............1111..111.........111.11....1....1111...11.......111111.1.1111..1111.......1111111.. <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br />f1u.i, 4fe <br /> <br />SQ FOOTAGE <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />SUBDIVISION <br /> <br />FRAME <br /> <br />D <br />D <br />D <br />S~ <br />I <br /> <br />DEMOLISH <br /> <br />HEIGHT I <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I <br />~ <br />MECHANICAL 1$ 3J.fQ 5,00 I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />"1"""1111""111111111"11111111"""1""1'1'111..."....111......11.11.111.........111.11............p""111111111111111111111111111111111 <br /> <br />~ <br /> <br />~ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <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 />License # <br /> <br />ELECTRICIAN <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 />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />rcff}~flA-/~ECS~~Y{N I <br /> <br />License # I CACOSgS15' <br /> <br />Address <br /> <br />MECHANICAL ! <br />SIGNATURE . <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />II 111111'111111 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111'11111111111'1 <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 onsite, 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 />1IIIIIIIjlllllllllllllllllllllllllllllllllllllllllllll1IIIIllllllljl.I,llllllllll.IIII..I,111111111111111111illllllllllll.IIIIIII.,IIIIIII.1111111 <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 (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />