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<br />Nov 29 07 09:52p <br />813-780-0020 <br /> <br />p.1 <br /> <br />City of Zephyrhllls ....ermlt AppliCatiOn <br />Building Deparlmenl <br /> <br />rdA-QI,JI-,OU-UU" <br /> <br />Dale Rec:eived \ \ - 30 - D <br />Owner's Name Serve - S-ro...\ <br />Owner'sAddress 1l-1'tiot+ LJ<OO'Z. (J) +h <br />Fee Simple Tllleholder Namel . <br /> <br /> <br /> <br />'S-t <br /> <br />OwnerPhoneNumber <bl~- f8'e-5L\b5 <br /> <br /> <br />Owner Phone NtImber I I <br /> <br />Owner Phone Number I I <br /> <br />JOB ADDRESS <br /> <br /> <br />s+ <br /> <br /> <br />lOT# I <br /> <br />SUBDIVISION <br /> <br />PARCELID#I <br /> <br />..T.......... <br /> <br /> <br />ADDJAL T <br />REPAIR <br />COMtJl <br />FRAME <br /> <br />COBT AINeD FROM PROPERTY TAX NOllCE) <br />SIGN D MOVE D <br /> <br />OEMOlISH <br /> <br />PROPOSED USE <br />TYPEOFCONSTRUCnoN <br /> <br />NEW CONSTR <br />INSTALl <br />SFR <br />BLOCK <br /> <br />o <br />o <br />o <br /> <br />OTHER <br />STEEL <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />-T.. <br /> <br />.......... <br /> <br />1$ I <br /> <br />1$ d. J cx:xJ. '4 <br /> <br />D PLUMBING 1$ I to.R...J2.d9ncl ~~_ <br /> <br />D MECHANICAL 1$ I VALUATIONOFMECHANICALfNSTALLATION f1t"n \I(~o 10(- <br /> <br />o GAS 0 ROOFING D SPECIALlY D OTHER ~~+~cift, l:et>;etJJ <br />FINISHEOFLOORELEVATlONS ] I FLOOOZONEAREA DYES DNa ~'*~~~ <br />111111111111111I11111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111 ~ I 3 <br />I V- z- .()"\ <br /> <br />U!..!U <br /> <br />o <br />M <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />Address <br /> <br /> <br />YfN <br /> <br />FEE CURRENT <br /> <br />BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />~ <br /> <br />ELECTRICIAN <br />siGNATURE <br /> <br />COMPANY <br />RE(3ISTERED <br /> <br />Address j 3 ~ 2q <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address I <br /> <br />0',sC.o..y <br /> <br />COMPANY <br />RE(3ISTERED <br /> <br />COMMERCIAL <br /> <br />I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE , RE(3ISTERED Y f N FEE CURRENT U!..!U <br /> <br />Address I license # I <br /> <br />OTHER I COMPAHY I <br />SIGNATURE , REGISTERED Y f N FEE CURRENT L.!.!!:!....J <br /> <br />Address I License # I I <br />11111111111111111111111111111111111I11111111111111111111111111111 111111111111111111111111111111111111111111I11111111111111111111111111111111111111 <br />RESIDENTIAL Atlach (2) Plcl Plans; (2) sets of Building Plans; (1) sel of Energy Fomls; R-o-W Permit for new conslrudion, , <br />Minimum ten (10) working days alter submillal dele, Requll'l!d onslle, Conslructlon Plans, Stormwater Plans wi Sit Fence installed, <br />Sanitary Facilities & 1 dumpster; Sile Wolk Permit for subdivislonsllarge projects <br />Anach (3) sets of Building Plans; (1) sel of Energy Forms. R-o-W PIlfII1II tor new conslruction, <br />Minimum len (10) working days alter submltlal dale, Required onslle, ConsIrucllon Plans, Stormwaler Plans wi Slit Fence installed, <br />Sanllary FaclNties & 1 dumpster, Site Work Permit tor all new projects. All commerclai requirements must meet compUance <br />Attach (2) sets of Engineered Plans. <br />---PROPERTY SURVEY reQuired for al NEW construction. <br /> <br />License # <br /> <br />SIGN PERMIT <br /> <br />Direcii.;~~': .. .. . .. .. <br />flU out appticaflon complBlely. <br />Owner & Contractor sign back elf appUcalion, noaized <br />" over $2500, a Notk:e of Commencement Is required, (AIC upgrades owr $5000) <br />Agent (tor the conlraclor) or Power of Morney (rOr I1e owner) would be someone with notarized lelter from elWl1er aulhorizlng same <br />OYER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers ServIce Upgrades AlC <br /> <br />................ <br /> <br />................ <br /> <br />.... <br /> <br />.... <br /> <br />... <br /> <br />Fences (PlotfSurveyIFoolage) <br /> <br />Driveways-Not over Counter If on publiC roadways..needs ROW <br />