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<br />813.780-0020 <br /> <br />City of Zephyrhllls Permit Application <br />BUilding Departmenl <br /> <br />Fax.813.780-0021 <br /> <br />Owner's Name <br /> <br /> <br />Date Received <br />(i,lf~~t'.n~ <br /> <br />. > ,,,,,,,,,,,,,.",,.'~~....-.1_.~~1 <br /> <br /> <br /> <br />Owner Phon. Number I I <br /> <br />Owner Phone Number I I <br /> <br />I <br />I LOT# ! I <br />(Jblb~ 0f5\6D - l'3"llq <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />11 1t1- <br /> <br />Fee Simple Titleholder Address , <br /> <br />I 57ljD <br />I <br /> <br />I & ~ ..Y;Uuf <br />I <br /> <br />B <br />D <br />D <br />~ <L-l D 5<..AJ...Q <br />l ~ I ~ ~ ,I I SO FOOTAGE I if J Cj HEIGHT I q I <br />~~~~m:~~~~~~~~::f>#."~_"]!O~~~~~-~~~~_~ <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10# I \\ ~ 1 (P - L, \ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br />o <br />I'~ODI <br /> <br />STEEL <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SIGN <br /> <br />D MOVE 0 DEMOLISH <br /> <br />I. ~1J~ /J(YJ/ <br />D OTHER <br /> <br />ADD/AL T <br />REPAIR <br /> <br />~ <br />D <br /> <br />PROPOSED USE <br /> <br />OTHER <br /> <br />P A''' (l1\u4L <br />I <br />I <br /> <br />SFR <br /> <br />COMM <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING 1$ / /, POO <br />0 ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ <br />CJ GAS CJ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br />BUILDER <br />SIGNATURE <br /> <br />, <br />) <br />I <br />l <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C <br /> <br />VALUA nON OF MECHANICAL INST ALLA nON <br /> <br />Oh~~ 5~~~ <br />f(JOt.-J <br /> <br />SPECIAL TY 0 OTHER <br />FLOOD ZON E AREA DYES <br /> <br />DNO <br /> <br /> <br />~~_JfJ/J'l.i_~.<;JiL_jJj <br /> <br />~0~!e~(~r:au.1 <br />LK:Elnse# I CI5( 059g/7 I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />=:=J <br /> <br />Address <br /> <br />ELECTRICIAN [ <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER / <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REOtSlERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Addres,! <br /> <br />MECHANICAL I <br />SIGNA TURE <br /> <br />License # <br /> <br />COMPANY <br />REG1S7ERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />license # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License #. <br /> <br />~~~.f~~~~~~~~,k~~:L~~....:ci~:.t~:,;(~~;;'-~~.~~oX"~~.:itt:~o.:i:'"~~~:~J::):~~=-:~.nS:ifA~ <br /> <br />RESIDENTIAL <br /> <br />AIlach (2) Plot Plans; (2) sets of Building Plans; (1) sel 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. Required onsile, Construction Plans. Sanjtary FaciHties & 1 dumpster <br />All commercial requirements must meet compliance. <br />Allach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />~~~~~~~~::Ri-~;m.~:::Fdit~~~~.ft,,~~.~,:m~.t~'E;;i~'~'~~~~'~~':~"!o:lli~t!; <br />Directions; <br />Fill out application completely. <br />Owner & Contractor sign back at applicalion, notarlzed <br />If over $2500, a Notice of Commencement is required. (Ale upgrades oyer $5000J <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <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 NC <br /> <br />Driveways <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />}"27 J~)~ <br />