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<br />813-7ln-002O <br /> <br />City of Zephymills Pennit Application <br />Building Department <br /> <br />Fax.813-780-0021 <br /> <br />Date Received <br /> <br /> <br />tt~3tf'l-' <br /> <br />F.. Simple TltleIIoIder Add~ <br /> <br />~j <br />I <br />I <br />I <br />I tt7553 BrlfJlfvv{)()d DR. I LOT. I I <br />PARCELID#lQ.1-2LP- QI-ODeO-OOOOO - ooA I I <br />-"'" (llIITAlIIID FROM PROPERTY TAX NOTICE) <br />L!:..I SIGN 0 MOVE 0 DEMOUSH <br /> <br />OWner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />OWner's Name <br /> <br />OWner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />[SDver OaK-Jl <br /> <br />B NEWCONSTR. CJ ADtVALT <br />INSTALL 0 REPAIR <br />PROPOSED use 0 SFR D COMM D OTI-ER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME 0 STEEL 0 <br /> <br />OESCRIPTIONOFWORK ~(Jng.t (Jj).:f. <br /> <br />BUILDING SIZE .~ sa FOOTAGE I I HEIGHT I <br /> <br />Is I <br />r I <br />1$ I <br />r:zJIJ~~ <br /> <br />o GAS D ROOFiNG D SPECIALTY D OTHER <br />FINISHEOFLooRElEVATIONS I I FLooOZONEAREA c:JvES <br /> <br />SUBOMSiON <br /> <br />WORK PROPOSeD <br /> <br />OTHER I <br /> <br />D <br />D <br />D <br />I:!:f <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WR.E,C, <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DNO <br /> <br />BUILDER <br />SlQNATURI: <br /> <br />COMPANY <br />REGISTERED <br /> <br />l...Y.LlU <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />elECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />l...Y.LlU <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Add~ <br />PLUMBER I <br />SIGNATURE <br />Add_I <br /> <br />MECHANICAL ~ fi <br />SIGNATURE ~7\. <br />Address I r (J D I!.. <br /> <br />~~'::TURE I <br /> <br />AddAlSSI <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />l...Y.LlU <br /> <br />FEE CURRENT <br /> <br />Lr.!!:!...J <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />l...Y.LlU <br /> <br />FEE CURRENT <br /> <br />Lr.!!:!...J <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />AlIach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fomls <br />Minirn.lm ten (10) v.orking days after submittal date. Required onsile, Construction Plans. Sanitary Fac~itles & 1 dumpster <br />Atlach (3) sets of BuIlding Plans; (1) set of Energy Forms, <br />Minirn.lm ten (10) v.orking dllYs after submilllll date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AU commercial requirements must meet compliance. <br />AlIach (2) _ of Engineered Plans. <br />"*-PROPeRTY SURVEY required for all NEW construction_ <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />FiR out application c:ompletely. <br />Owner & Contrac:mt sign back of application. nolarized <br />If owr 125OCI. a Notice of Comm..cement Is naqulred. (AIC upgradw Oyer SlIOOO) <br /> <br />- Agent (for the contradDr) or PoY.er of AlIDrney (for the ~ v.ould be someone WIll notarized IeIIer from """"" authorillng same <br /> <br />OVER THE COUNTER PERMITTING (Front of Applieation Only) <br />Reroofs Sewers Selvk:e Upgrades NC Fences (PlotfSuIV8ylFootage) <br /> <br />OrI~"Not over Counter if on pubHc roadwllys..needs ROW <br />