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<br />813-780-0020 <br /> <br />0a1lt Received <br /> <br />Ownel's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSB> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrflills Permit Application <br />Building Department <br /> <br />Fax-813-78O-OO21 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />r~O'M.. '- ~".t LOT. I <br /> <br />I PARCELID#II'I-J.t, -;/ . oOID . OtJloiJ . OO~l> <br />(Il8TAlIED OM PRmoERTY TAX NOncE) <br />C"J ADO/All 0 SIGN D MOVE 0 <br />D REPAIR <br />D COMM 0 OTHER <br />D FRAME 0 Sf EEL <br /> <br />.. "7""-=rr <br /> <br />sa FOOTAGE HEIGHT <br /> <br />B <br />o <br />o <br />I ;)~ .2/3 <br />I <br /> <br />NEW CONSfR <br />INSf AlL <br /> <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br /> <br />Fee Simple TiUeholder Address I <br /> <br />I t../9 ~ 6- <br />I <br /> <br />D BUILDING <br />D ELECTRICAl <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ 3, q~tJ. t~ <br />r <br />r <br />r <br />o ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAl CONSfRUCTION <br /> <br />W.R.EC. <br /> <br />VAlUATION OF MECHANICAL INsrALLATION <br />SPECIALTY 0 OTHER <br />FlOOD ZONE AREA DVES DNO <br /> 7:2 I <br /> ~ <br /> License # <br />COMPANV <br />REGISTERED VI N <br /> License # <br />COMPANY <br />REGISTERED L...!.!..!:!... FEE CURRENT Lri!::!...J <br /> License # <br />COMPANY <br />REGISTERED L...!.!..!:!... FEE CURRENT Lri!::!...J <br /> License # <br />COMPANY <br />REGISTERED L...!.!..!:!... FEE CURRENT Lri!::!...J <br /> License # <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br /> <br /> <br />AlIach (2) Plot Plans; (2) seIs of Bu~ding Plans; (1) set of Energy Forms <br />MinilTllm 18n (10) 'Mlrking days after submitlal dale. Requited onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AlIach (3) sets of Bu~ding Plans; (1) set of Energy Forms. <br />Minirrum 18n (10) working days after submitlal dale. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All conmercial requirements must meet compliance. <br />AlIach (2) sets of Engineered Plans. <br />-PROPERTY SURVEY required for all NEW construction. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application co"1'le1ely. <br />Owner & Conbaclor sign back of application, noIarized <br />If over S2SOO, a Notice of Commencement is required. (AIC upgrades over $SlOG) <br /> <br />Agent (for the contractor) or POwer of Attomey (for the owner) 'Mluld be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AIC Fences (PlolJSurveylFootage) <br /> <br />Dr1veways-.Not over Counter if on public roadways.. needs ROW <br />