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<br />813-780-0020
<br />
<br />City of Zephyrhil/s Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />Date Received
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<br />,f ~ -, .. ~
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<br />Owner's Name I -t! i ( t f .' /',,"( " ,#' ,!
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<br />Owner's Address I,.i" .f .,7 i~ i" ~.. ,;;/. ,",' ":0 ~ (J
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<br />Fee Simple Titleholder Namel
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<br />Fee Simple Titleholder Address
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<br />JOB ADDRESS
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<br />It' '1 ~ 9
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<br />PARCELlD#W", ~-2..' -ODOO ....bo UJ ...0000
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
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<br />LOT #
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<br />WORK PROPOSED
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<br />B
<br />D
<br />D
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I j 11 I
<br />
<br />Ej
<br />D
<br />D
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
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<br />DEMOLISH
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<br />SUBDIVISION
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<br />;"1,-' .; >,V'~ t / t
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<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
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<br />DESCRIPTION OF WORK
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<br />JP ')( ILl
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<br />Scrft.V;?J.#,.#
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<br />I .~} .A . tV"::.. .V J; (~
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<br />BUILDING SIZE J ;7 I \ ,I 1.,/ , SQ FOOTAGE I I , f HEIGHT I f I l' I I
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<br />. . . I I . . . I I . . . . I I I I . I I I I . . I I . . . I I . . I I . I . . . . I , . I . . . I . . . . I I I . I . I . . . . I . I . , . I I I . . . I I I I I . . I I I . I . . I . I . . . . I II I I . . . . . . . I I . I I . I . . . , I , I I I I I . I I I I I I I I I . I I I I I I I
<br />
<br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
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<br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C,
<br /> A./' ~
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<br />D PLUMBING 1$ I
<br /> /tr"
<br />D MECHANICAL 1$ , I VALUATION OF MECHANICAL INSTALLATION
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<br /> ,',,,-
<br />D GAS D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA ~ES DNO
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<br />BUILDER
<br />SIGNATURE
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<br />
<br />COMPANY
<br />REGISTERED
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<br />I. , .14 ( ~:' ,y' , "
<br />1 Y / N FEE CURRENT
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<br />Y/N
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE .
<br />
<br />Address I
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<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />MECHANICAL I
<br />SIGNATURE ,
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111
<br />RESIDENTIAL 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 Permit for subdivisions/large projects
<br />COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />1I1111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111I1111111111111111111111111111111111111111111111111111111'
<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 C()ntractor) 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 (Plot/Survey/Footage)
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<br />l;;! ~" ::J ;/ ,( ti (f , ;' j~ I ,ro}J
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<br />License #
<br />
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<br />
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<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y I N FEE CURRENT
<br /> License #
<br />
<br />Y/N
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<br />"10-"
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />II"~
<br />
<br />Y/N
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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