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<br />813-710.0020 <br /> <br />City of Zephyrtlllls Pennlt Application <br />Building Department <br /> <br />Fu.a13-710.oo21 <br /> <br />:'--=O'~~~~~~"~~:~Ob? I <br /> <br />.......- ~A f5 rfl AlE.. 2a'Ii'feJltu.<:. I 0-__1 I <br />Fee Simple TIlteIIoIder Name I I 0wMr Phone NumIIer I I <br />Fee Simple T1tIeholcIer A..,.. I I <br />l39aJ9611fAv~ 2ePllyel/,l{S I J:{. 3.3!J'~a.. I LOTI I I <br />I I PARCEL IDlJ 11:1. - c;;? b~ a J - Do 3D-- (X)/ DO - b/&DI <br /> <br />(OBTAINED FROM PIlllPER1Y TAlC NOTICEI <br /> <br />D NEWCONSTR E3 ADOIAlT 0 SIGN D MOVE 0 <br />IlZl INSTALL REPAIR <br /> <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I <br /> <br />TYPE OF CONSTRUC11ON 0 BLOCK 0 FRAME 0 STEEL D OTHER I <br /> <br />DESCfUPT10N OF WORK IfI-/~ (!~ OW- <br /> <br />I so FOOTAGE I <br /> <br />I <br />I <br />Is I <br />IS3p~IOO I <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA <br /> <br />JOB ADDRESS <br /> <br />SUBDMSlON <br /> <br />WORK PROPOSED <br /> <br />DEMOliSH <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />o <br />o <br />o <br />~ <br /> <br />BUILDING <br /> <br />IS <br />IS <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 />WR.E.C <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Add_ <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br />Address I <br /> <br />~ <br /> <br />Y IN <br /> <br />FEE CURRENT <br /> <br />Liceme II <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License II <br /> <br /> <br />~ <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License II <br /> <br />RESlDENllAL <br /> <br />AIIach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) wormg days after submittal dais. Required onsit8. Construction Plans, Sanitary Fadlilies & 1 dump..r <br />AIIach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) woOOng days _ submittal dais. Required onsite, Construction Plans, Sanitary Fadlilies & 1 dumps...r <br />All commercial requirements must ~ oomplilWlCe. <br />AIIach (2) selS of Engi.-ed Plans. <br />"*'"PROPERTY SURVEY required for aU NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />ow.:tIons: <br />Fill out application completely. <br />Owl.- & Conlraclor SlgI1 beck of application, notarized <br />" - S2IOO. . NotIce of Co__1I1s rwqulrecL (Ale............... $IOOO} <br />- Agent (for the contTador) or Power of Al1cmey (for the owner) would be someone with notarized IeIblr from owner lUhorizing same <br />OVER T1tE COUNTER ~ (Front of Application Only) <br />Reroofs s-s Service tw- A1C DriYeways Fences (PtotISUfV8ylFootage) <br />