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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 />~..lf1 OD <br /> <br />, . <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />.5.tA fud <br /> <br />Fee Simple Titleholder Address <br /> <br />~O1/4 <br />"-11"7- <br />t <br /> <br />o <br /> <br />. It;, 0.1- <br /> <br />I PARCEL 10# I <br /> <br /> <br />E3 <br />D <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />I I 7 t:7 Shi1tfP /U' ---t OD( <br /> <br />BUILDING SIZE I I SQ FOOTAGE I . I HEIGHT I <br />;t'!","i5!'J;i:~'i"~.m~~~~"fi.~~~:':::-:-:.':':::~..~~~:-.N._.:~..-S:l!<"'l:~~~~~~~~~I <br /> <br />1$ J.t/iS).. 00 I <br />1$ I <br />1$ I <br />1$ r <br /> <br />D ROOFING D <br /> <br />5'15/ / <br /> <br />,,).,ofs.. <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br /> <br />NEWCONSTR <br />INSTALL <br /> <br />ADDIAL T <br />REPAIR <br /> <br />/I-,} v ';),/ - 00/0 . <br />(OBT....INED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D OTHER (k?..p -AOO I <br />STEEL D OTHER I <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br /> <br />SFR <br /> <br />COMM <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />o <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W,RE.C <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />GAS <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNa <br /> <br />Addr... <br /> <br />~~~-~~A~__.!!ii!..~jl) <br /> <br />t7~~~~ ~J'\) ~ <br /> <br />CC OSi?/ <br /> <br />License # <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN f COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT <br />Address I license # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br />Addres, I License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED l..IL!U FEE CURRENT l...!:.L!U <br />Address License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br /> <br />Addr... License # <br /> <br />~iIIZ'l:'_--~~~....tio"=:t'~~..uL'-=.t.~Z>fIlr~~.n;!><l:Wt.ii:".x<;;r,..,="=,,.Jl;lli{=-r~ <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 />Minjmum ten (10) working days after submittal date. Required onsne, 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 />~~~~~~~~~~~'~.!i\ii._~~~.ft~!l<<~'~~Ti";i~.E;:;ii~~':iiG~~'''~::rm'~';;ii~:m-;l; <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 Attomey (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 AlC <br /> <br />Driveways <br /> <br />Fences (Plot/Survey/Footage) <br />