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<br />813-780-0020 <br /> <br />City of Zephyrhil/s Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />1m((j~fSlj W/~fi- I <br />Same. I <br /> <br /> <br />Fee Simple Titleholder Address I s a me- <br /> <br />:~~ !};;;J+S~ ~(/~ Fl 335'f I LOTI 1d?5 <br />(: PARCELID#I 03- ;(6-c2I-JOd--fj -' Oatlj-t%25?J <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR ~ ADD/AL T D SIGN D MOVE D <br />D INSTALL ~ REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK ~ FRAME D <br /> <br />DESCRIPTION OF WORK I Roo W1 4d.d ,. fz DYl <br /> <br />I /50- '11-:2 I SQ FOOTAGE / <br /> <br />1$ /?!{)IJ ~ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~O <br /> <br />11111111111111111111111111I11111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111 <br /> <br />:~~~~~RE 16?t!7 b~fWJtA-- I ~~:~"= t<~'f ,,"CUR,"" y~1' 5" <br />Address 1~3~~k:3~' <br />:~~I:.:'':N . cl -. _ I ;::,::.: <br />Add,es> 6t5:J. ~me--f:5f; 11tJ,&, f 335'i;l1 <br /> <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED <br /> <br />Owner's Name <br /> <br />Own.', Add'... I ~ I r <br />Fee Simple Titleholder Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br /> <br />HEIGHT I <br /> <br />ff I / () II <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />b~'1.- '1, .I."" <br /> <br />~ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br />A(JPQ~l--W- ~ <br /> <br />W.R.E.C. <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Nee... _ <br /> <br />License # <br /> <br />Rc;1? ~ FEE CURRENT <br /> <br />"5 ,- .;;;;,p <br />":>- <br />Y/N I <br /> <br />License # <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 />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br />111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permil for subdivisionsllarge projects <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />DI~~~ij~~~': . . , . . . . , . . . , , . . . . , . . . . , I . . . . . . . . . . . . . . . . . , . . . . . . . . , , . . . . . . . . . . , . . . . . . , . . . . . . . . . . . , . . . . I . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <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 Fences (PloUSurvey/Footage) <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />