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<br />813-780-0020 <br /> <br />City of Zephyrhllls Permit Application <br />Building Department <br /> <br />;\f~ L\:?JO <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />07~O <br /> <br />JOB ADDRESS <br /> <br />I <br />I <br /> <br />PARCEL/OIl d 0-1 1/ EJO!Dd 03. eo <br />(qaT AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />171-11'- 3+ <br /> <br />I <br /> <br />.~ NEW CONSTR c=J <br />tj INSTALL D <br />PROPOSED USE 0 SFR 0 <br />TYPE OF CONSTRUCTION 0 BLOCK 0 <br /> <br />DESCRIPTION OF WORK I ~ (ri. 3> ~ J)~~ e.J.()(J <br /> <br />~UILDlNG SIZE I SQ FOOTAGE I HEIGHT I <br /> <br />......................1111........ <br /> <br />0'.... ~~,~~;~~..."".. i;"~;; 6:' ~~. ~~~~ .~; ~~~~~ '~~~~~~~~,~~"""" <br /> <br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO <br /> <br />~~~;: "1'~ ~ ':Q;: 111111 i 1111 ~~;~ "i" Illl~': '~""""~: ="""" ~ :'~""""""""1 <br /> <br /> <br />Address I License # I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />~/oo <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(9/d 0 <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />o <br />D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />'SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />. Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br />111111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111111111111111111111111111111111111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsile, 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 onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is requIred. (AlC upgrades over $5000) <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 />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />Fences (Plot/Survey/Footage) <br />