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<br />813-780-0020 <br /> <br />City of Zephyrhllls Permit Application <br />BUilding Department <br /> <br />Fax.813-780.0021 <br /> <br />8/3 7gd- - 09,,)0 <br />,"O",'","cl~_'."o.=l ~j L. _"H'_ <br />'.' .'-'''' -"'-" . . -~==:::~:.-. - ._~-~<- ---~<'=l <br /> <br /> <br />Owner Phone Number I I <br /> <br />Owner Phone Number I I <br /> <br />I <br />I <br />I <br /> <br />~ <br />PARCEL 10# I 35" - 0/ S - ;;j J - 00 50 - Of)[)OO - t) g jj) <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />Owner's Name <br /> <br /> <br />Date Received <br />~~"-''''n - <br /> <br />-0 <br />f2..f'S <br />o <br />rt/A- <br /> <br /> <br />Fee Simple TItleholder Address I <br /> <br />I 3tf&OlP 7J(Mrrvrvt./- <br />140M- VI / I~ [d., I <br /> <br />E3 NEWCONSTR E3 <br />INSTALL <br /> <br />DSFR 0 <br /> <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />I---P.p -"WOO Ii c:7 shi1<,p <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT 1_ <br />1p"'!!i!!i~:'~~"ii~~~~~~~'~'.~~-,-::i:.'~....:C..'.~to;!-lMi~~~~-.~~~~~~~~~--; <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADDIAL T <br />REPAIR <br /> <br />D <br />D <br />D <br /> <br />OTHER <br /> <br />SIGN <br /> <br />D MOVE D <br />I <br />i -~ e7f <br />D HERI <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />COMM <br /> <br />FRAME <br /> <br />STEEL <br /> <br />DESCRIPTION OF WORK <br /> <br />D BUILDING 1$ S 530 1JO <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br />BUILDER <br />SIGNATURE <br /> <br />I <br />I <br />I <br />r <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />"...-"' "-'-~---"'-" ..... <br />W.R.E.C / .\\ <br /> <br /> <br /> <br />(c~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />~~Jl!i\II~~.lI'~A~~~.tll <br /> <br />I~ ~~~~r-~b..rJMCI <br />License # I cc L t) '5 ~ / :5 'I I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />COMPANY <br /> <br /> <br />Address <br /> <br />ELECTRICIAN [ <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />'1- <br /> <br />L'!:..L!::!.... <br /> <br />COMPANY <br /> <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L'!:..L!::!.... <br /> <br />Addres, <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />license # <br /> <br />COMPANY <br /> <br />L!L1U <br /> <br />FEE CURRENT <br /> <br />L'!:..L!::!.... <br /> <br />REGIS1'ERED <br /> <br />Address <br /> <br />license # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L'!:..L!::!.... <br /> <br />Address <br /> <br />License # <br /> <br />~~~~~~~~~~~~~..aL~~~L~~;;-!M~~~~~~~~~~~.n~~~ <br /> <br />RESIDENTIAL Attach (2} Pial Plans; (2} sets of Building Plans; (I} 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 lor all NEW construction. <br />~~~~~~"3!ilM-~-~~~'.~~~~~i!!b~~.~,.i!!!.;~.E'i'<<~.:iiG-;i&~.~.?iir;-:M~mJ~~m~ <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If OYer $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 SeNlce Upgrades AlC <br /> <br />Driveways <br /> <br />Fences (PloVSurvey/Foolage) <br />