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<br />I I <br />B '13- 7 BO-OlJ2U <br /> <br />City of Zephyrhilfs Permit Application <br />Building Department <br /> <br />Fax-813-78U-OU21 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner Phone Number I <br /> <br />7751 <br />813 - 780 - (;;./01 <br />8JJ1f, -71d6J ~ 6 (1)7 <br />lv/A <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholcller Address <br /> <br />/.IIA <br />6~lL <br /> <br />t3lvd i <br />, <br /> <br />WORK PROPOSED I <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br />Z~pA)'I'A,I.{5 P1.- 335'-11- I LOT # I <br />I / J <br /> <br />PARCELlD#1 03-Zb~>X>IO - 001 cO - ClOII <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />(;,CJt..j9 <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br /> <br />FRAME <br /> <br />~ <br /> <br />~ <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br /> <br />OTHER I <br /> <br />kM""d L..( /-J(./S 011 <br />SQ FOOTAGE I <br /> <br /> <br />/J//OI1v/YJ ( <br /> <br />BUILDING SIZE <br /> <br />[XI <br /> <br />1$ 2000,00 <br /> <br />1$ 300;DD <br />1$ <br /> <br />1$ <br /> <br />c=J GAS c=J <br />I <br />FINISHED FLOOR ELEVATIONS I <br /> <br />1--- n-i : <br /> <br />BUILDING <br /> <br />ROOFING <br /> <br />, <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[Xl <br />c=J <br /> <br />PLUMBINGI <br /> <br />ELECTRICAL <br /> <br />D <br /> <br />MECHANlqAL <br /> <br />VALUATION OF MECHANICAL INSTAllATION <br /> <br />SPECIALTY c=J OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />Lllill <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />C License # <br />I 1 !III <br />A~tach (2) Plot Plans; (2) 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 />A~tach (3) sets of Building Plans; (1) set of Energy Forms. <br />Mnimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AI commercial requirements must meet compliance. <br />At ach (2) sets of Engineered Plans. <br />*' 'PROPERTY SURVEY required for all NEW construction. <br /> <br />Y/N <br /> <br />11- <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application tomPletelY. <br />Owner & Contracto sign back of application, notarized <br />If over $2500, a N tice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contr ctor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER ~ERMITTING (Front of Application Only) <br />Reroofs Serers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />