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<br />813--78~20 <br /> <br />Date ~lved <br /> <br /> <br />City of ZephyrtJiIIs Penn it Application <br />Building Department <br /> <br />Fax-813--7llO-OO21 <br /> <br />I <br />I <br /> <br />Fee Simple Titleholder Address I I <br /> <br />I /-OJ-O, "'o3DJloo.3~ Gte" f>ItKl, Zlt!J'h~rhiJ's ,3354~ I LOU I I <br /> <br />I I PARCELIDlI 03 -~lo -.;l' -DO/D - 101 iooo-aodo <br />(OIITMEO _ PROPERTY TAll NOTICEI <br />E3 NEWCONSTR D ADDIALT D SIGN 0 MOVE D <br />INSTAlL D REPAIR <br />PROPOSED USE D SFR 0 COMM D OTHER <br />TYPE OF CONSTRUCnoN D BLOCK 0 FRAME D STEEl 0 OTHER I <br /> <br />"'''''PnON DO' WORK I p"",..~ e." 51'"1 cpDI / ~n;>tq 1I Cer+" f I.:cd G.hl S - C -/33 <br /> <br />BUlLDINGSIZE I SQFOOTAGE I ~ ~oo I HEIGHT L I <br /> <br />D BUILDING 1$ \'1 0, 0 <X:J < 00 I <br /> <br />D ELECTRICAl 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAl 1$ I <br /> <br />D GAS ~ ROOFING 0 SPECIAl. TY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA <br /> <br />Owner's Name ~ L t'" S <br />"""""...... ~)fa rhor Pg "~Q "" W "'/ . c~. Ownar Phone Number I <br />- I . J= 3371t:/7 I <br />Fee Simple Tldeholder Name Owner Phone Number <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOliSH <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VAlUATION OF MECHANICAl INSTAlLATION <br /> <br />t0DUI <br /> <br />DYES <br /> <br />DNO <br /> <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURRENT Lr.!!LJ <br /> Address License , I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED YI N FEE CURRENT Lr.!!LJ <br /> Address License , I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURRENT Lr.!!LJ <br /> Address License , I <br /> MECHANICAL I COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURRENT Lr.!!LJ <br />, Add...... .~. oV I license , I I <br /> OTHER ()\ q' ='"~ I{';~ ~ 1--0,,- ~\ --:r,.J. <br /> SIGNATURE I Y I FEE CURREHT <br /> Add_ I I Uc:ense , I I <br /> <br />RESIDENTIAL <br /> <br />AIIac;h (2) Plot PI8ls; (2) leis of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) MNIdng days ...... submiIIaI........ Required onsile, ConsIrucIion Plans. SaIiBy FadIIies & 1 cIun1lSter <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) MNIdng d8ys after submIlIaI dale. Required onsile, ConstJucIion Plans. Sanilaoy FadIIies & 1 cfun1)sler <br />All COr,.I.erdal requirements must ~ <:oqIIiance. <br />Attach (2) sets of ~ Pbwls. <br />--PROPERTY SURVEY required for aI NEW con8lnlclion. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Direc:tlons: <br />FiR out applcation compIeIeIy. <br />Owner & Conlrador sign beck 01 application, notaized <br />If over $2500. a NotIce of CoomoencetMnt Is noqulrwd. lAIC upgrades over $5000) <br /> <br />- Agent (for !he con\nIctor) or PO\Wr 01 Allomey (for !he -> WOlAd be someone wilh ~ lelIer from _ auIhorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front 01 Application Only) <br />Reroofs Sewers SenIic:e Upgrades NC Fences (PIolISurwyIFOOC8ge) <br /> <br />Dr1v_aye-Not O\l8r Coun1er if on public roadways..needs ROW <br />