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<br />Fee Simple Titleholder Address I <br /> <br />City of Zephyrhihs Permit Application <br />Buildinb Department <br />I <br />I <br />Phone Contact for Permitting <br /> <br />}...{ Y DeJ( Owner Phone Number <? 13 - 3t::>/-7 <br /> <br />Of ..{i, A 1/ e - Owner Phone Number I <1/'3 -.;2 t..f 5..... .%o?tl <br /> <br />Owner Phone Number I I <br /> <br />I <br />I <br /> <br />(\ ~),( I <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br /> <br /> <br />, ! ,v- L <br /> <br />/~ Owner's Name ~~;Z::{ <br />/ Owner.s Address I '3 ~ ( 3.5 <br />Fee Simple Titleholder Namel <br /> <br />/ JOB ADD.RESS <br /> <br />I <br /> <br />q~h A. J1& <br /> <br /> <br />I P~RCEL ID#I ! I ~ '- L ._~ !-<....,( \ <'. ('0 \ ( .( <br />I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />D NEW CONSTR D AqD/AL T D SIGN 0 MOVE D DEMOLISH <br />D INSTALL D R'lPAIR <br /> <br />PROPOSED USE D SFR D C~MM D <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br />I <br /> <br />/' DESCRIPTION OF WORK I' :~n. ~\ I I ,\ . \ \. ' .\. '. I ',. I <br />I <br /> <br />BUILDING SI~ II c;l., A J fp I SQ FOOTA:E I I * ~: fIf I HEIGHT I J f PI. I <br /> <br />"r.II'...III...III..'.'.......II..........IIIII..II........11....11..........111..........,....'.11........1111111.....111..........1'..'11........ <br />I <br />VALUAflON OF TOTAL CONSTRUCTION <br />AMP S~RVICE D PROGRESS ENERGY <br /> <br />3 <3 '7 3.5 <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br /> <br />I VALUAf'ON OF MECHANICAL INSTALLATION <br /> <br />D S~ECIAL TY D OTHER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />/ 1$ if,o<:6 6, '7.5 <br />1$ <br />1$ <br />1$ <br />D <br /> <br />"--( <br /> <br />D <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />\ .. I <br /> <br /> <br />4. "( -~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER / <br />SIGNATURE <br /> <br />/ <br />COMPANY <br />REGISTERED <br /> <br />I~/L. POffAbI~ S~ <br />I Y / N I FEE CURRENT I Y / N I . <br /> <br />License # I <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/N FEE CURRENT <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />I License # <br />I <br />11111I111111I11 1I11111111111111I1111111111111111111111111111111111111lillllllllllllllllllllllllllllllllllllllllllllllllll1I1I111I111I1II1111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) se~ of Energy Forms; R-O-W Permit for new construction, <br />Minim.um ten (10) working days after submittal date. ~equired onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for ~ubdivisionsllarge projects <br />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. ~equired onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit forJ" new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW constr ction. <br />II111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (A/C upgrades over $5000) <br /> <br />.. Agent (for the contractor) or Power of Attorney (for the owner) would bel someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fehces (Plot/Survey/Footage) <br />I <br /> <br />Address <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />