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<br />813-780-4020 <br /> <br />City of Zephyrtlllls Permit Application <br />Building Department <br /> <br />Fax-813.780.oo21 <br /> <br />Date Received <br /> <br /> <br />5~cX..u <br /> <br /> <br />s-Y <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br /> <br />I <br /> <br />36'1~J ~c..{k~r\^s WeAr I LOT# 110 I <br />f:a.~\~ ~....c" I PARCELID#I,'I- 2" .,,- 0 no. 00Q0(.')- 0100 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />(2d. <br /> <br />Fee SImple TltIeholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING <br />r$i ELECTRICAL <br />qzJ PLUMBING <br />!Zl MECHANICAL <br /> <br />1I10, <<JeJ <br />1$ <br />1$ <br />1$ <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE '200 <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />ONO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I e~ ~;~~NT <br /> <br /> <br />License # I <br /> <br />l.:!:.!!:U <br /> <br />~ Pc.SCo c5/f?(. <br />Y I N FEE CURRENT l.:!:.!!:U <br /> <br />License # I <br /> <br />w: I; <br /> <br />COMPANY <br />REGISTERED <br /> <br />AdcllHS <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />License # <br /> <br />.s~" 0:>"" (~( .\- <br />Y I N FEE CURRENT l.:!:.!!:U <br /> <br />License # I <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />;~~:~ I Rw..tJ <br /> <br />~() .t,'\~ <br />FEE CURRENT l.:!:.!!:U <br /> <br />Adcll'IIS8 <br /> <br />License # <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. Consl1uction 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 onlite. Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, <br />Attach (2) sets of Engi.-red Plans, <br />--PROPERTY SURVEY required for 811 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 oyer $2100, . Notice of Commencement Is required. (AIC upgrades over $80001 <br /> <br />-- Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized IeIIer from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AIC Driveways Fences (PIoIISurveylFootage) <br /> <br />? (c.^S <br /> <br />19/\ <br /> <br />F.'l~ <br />