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<br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owne". Address <br /> <br />Fee Simple TItleholder Name I <br /> <br />City of ZephyrhiUs Permit Application <br />BuUding Department <br /> <br />Fax-8t3-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Add.... I <br /> <br />15::1:17 ~+-h s+- <br />I <br /> <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 />CJ BUILDING <br />D ELECTRICAL <br />D PlUMBING <br />D MECHANICAl <br />D GAS <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Add.... <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Add.... I <br /> <br />PLUMBER I <br />SIGNATURE , <br /> <br />I <br /> <br />LOT. I <br /> <br />E3 <br />D <br />D <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br />BLOCK <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />I <br />1$ c2d.OO'~ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />HEIGHT I <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />CJ <br /> <br />o <br /> <br />AMPSERVlCE <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VAlUATION OF MECHANICAL INSTAlLATION <br /> <br />SPECiAlTY D <br /> <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br />c.GL:. <br /> <br />DNO <br /> <br />(9~29S-1 <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ic=ro.~ e-NI1III"O~( S___tl/~~ f2""G.. <br />I Y I N I FEE CURRENT L!..!lL.J <br /> <br />license. I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />FEE CURRENT <br /> <br />L!..!lL.J <br /> <br />Y/N <br /> <br />License . <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />L!..!lL.J <br /> <br />Y/N <br /> <br />Add.... <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Add.... I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Add.... I <br /> <br />License . <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />L!..!lL.J <br /> <br />YI N <br /> <br />License . <br /> <br />COMPANY <br />REGISlERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />L!..!lL.J <br /> <br />License . <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) wor1dng days after submittal dale. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AItach (3) sets of BuilcfHlg Plans; (1) set of Energy Fonns. <br />MInimum ten (10) worlcing days after submittal date. Required onsile, Construction Plans, Sanitary Facili1ies & 1 dumpster <br />All commeroial requirements must meet compliance. <br />AItach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />Direction.: <br />Fill out application complelely, <br />Owner & Contrador sign back of application, nolar1zed <br />If over $2600. a NotIce of ~t Is required. lAIC upgrades over $lIOOO) <br /> <br />Agent (for the contractor) or Power of AIlomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITnNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PIoUSlllV8ylFootage) <br /> <br />Drlv_a~Not 0_ Counter If on public roadways..needs ROW <br />