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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhiiis Permit Appilcatloll <br />Building Department <br /> <br />Date Received <br />IIDIIDDIIIII <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Name I <br /> <br />17lJr:A &~ ~UlQ <br />N* <br /> <br />~(l.,,"UJ. f1.- 33SZt\ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />ter's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />~11t4.. ~m~ <br />O~~~ <br /> <br />{jA\'. Ru~ <br />I <br /> <br />o NEW CONSTR EJ ADD/AL T D <br />D INSTALL REPAIR <br />D SFR D COMM ~OTHER 1'Rt..-({.ooF <br />D BLOCK D FRAME D STEEL D OTHER I <br /> <br />I ~\~ k~'T:InL> 2Sy 3-\>lo Fl.] "I>.... ~..l ~ "'- <br /> <br />I SQ FOOTAGE I J HEIGHT I <br /> <br />LUU..u:: ~~rz." \\..\..U f\_ <br />. <br /> <br />PARCEL ID# I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />3,.- 7,'; -2\. Olbl..\. ~3~.. O\~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE <br /> <br />D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />P~i).J~ 1> ~~"'" <br />_ 1 ~S c... <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />--_-..-. <br />~ BUILDING <br /> <br />- <br /> <br />..:11I:o.. <br /> <br />Jl&.. <br /> <br />D ELECTRICAL <br />L.J PLUMBING <br />D MECHANICAL <br /> <br />1$ <br />/3, /5'8. !:J"U <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br />_1IIIIII..2II__.1.~. - <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WR.E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />I <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />- <br /> <br />~~ <br /> <br />~~~~~~RE I ~,L~ <br />Address I J5q1l U~ 501 ])ode c.-;~/~J <br /> <br />COMPANY <br />REGISTERED <br /> <br />~iJN~r ~~~'E~T(Al 't0frf- <br />License # I Crc- 05/ 5 U ~ <br /> <br />3~3 <br /> <br />I <br /> <br />ELECTRICIAN <br />SIGNA TURE <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 <br /> <br />Address <br /> <br />PLUMBER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />IIIIECHANICAL <br />1NATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br /> <br />REG:STER:=D <br /> <br />YIN <br /> <br />Address <br />............_____ _ __ _JIU_ <br />RESIDENTIAL Attach (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 />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date, Required dnsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />"'*PROPERTY SURVEY required for all NEW construction, <br />--.____1.. ____ .llIIn _ ___~li __ <br />rections: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (A/e 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 <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways.. needs ROW <br />