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<br />813-780..0020 <br /> <br />City of Zephyrhllls Permit Application <br />Building Department <br /> <br />Fax-813-780-OO21 <br /> <br /> <br />Date Recalved <br /> <br />OWne"s Name <br /> <br /> <br />,Jj,; <br /> <br />Owner Phone Number <br /> <br />....,....... -.., I <br /> <br />OWner Phone Number I <br /> <br />Fee Simple ntleholde, Address I <br /> <br />I~o <br />IL.-:>-r-t of <br /> <br />I <br /> <br />I <br />ZO~\~ "IllS (( l 33v-t1. I LOU II r 111 <br />PARCELID,j'II-J.v- .2[- 0010 --I f3:,:O- Of ~O <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br /><l(rJ,. <br /> <br /><;'1. <br /> <br /> <br />7. f..r 1ft t. till... " <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />[2g <br />D <br />I to' J"t\L ~ (:v <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />1$ )<;toO <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />I <br /> <br />~ <br />D <br />D <br />WI,vi)OvJ ~ <br /> <br />D <br />D <br />D <br />SilL <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br /><-f ~12'i- <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />I <br />I <br />I <br />I <br />D <br />1 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C <br /> <br />/ <br /> <br />Noe <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNo <br />,.- <br /> <br />~. . \\0<"\ <br />, l.l \ <br />l1 <br /> <br />ITH~H[ vl-/trI ~S...) I <br /> <br />N FEE CURRENT Y I N <br /> <br />License # I (&;C - /~0'7Dr31 <br />I I <br /> <br />~ FEE CURRENT ~ <br /> <br />I <br />I <br />I <br /> <br />License # <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />Y/N <br /> <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />Attech (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 />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Raquired 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 'or all NEW construction. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicetion complately. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, . 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 Driveways Fences (PloUSurveylFootage) <br />