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<br />813-780-0020 <br /> <br />City of Zep:'yrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />Lff;/V'rf.A.U"Clr. t-l~ <br />I <br /> <br />I <br />I <br />I <br />13B~I~ A A.VL- l..e.f>~~cJ,jll":o. rL. '33'54J.. I LOT# I I <br />I PARCEL 10# I ;4 -. J.l.-, - ~L - rot 0 - Dlloc) - Oot:t 0 I <br />(OBTAINED FROM PROPERTY TAX NOllCE) <br />Cl ADD/AL T D SIGN 0 MOVE D <br />~ REPAIR <br />D COMM D OTHER <br />D FRAME D STEEL 0 <br /> <br />DESCRJPTIONOFWORK I h~ ~.o.U\S I 'O('~Wa.Lt ..8{VllJ~ I,.,~ J Pa...tAd <br /> <br />SO FOO~GE I '100 s/pl HEIGHT I I <br />. <br />. <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />~ <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ <br />. LLc")ooo. <br />1$ <br />1$ <br />1$ <br />D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />o SPECIALTY D <br />I ~ FLOOD ZONE AREA <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />w.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />8TR <br />r-JOC <br /> <br />OTHER <br /> <br />DYES <br /> <br />t--:)() c/1fY'l '.Jn~clu~ <br />ONO f->>-'- ~ <br /> <br />Address <br /> <br /> <br /> I'"B......'(L,..,~ I r..) So'1AJ\ ~ <br /> JtWu FEE CURRENT <br /> License # <br /> ~ FEE CURRENT L.:!i.!U <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Add ress <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Add ress I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <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 />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 AlC <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />