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<br />Date R~ceived <br /> <br /> <br />City of zephyrhihs Permit Application <br />BUildinp Department <br />I <br />I 'tt' <br />Phone Cont ct for Perml mg <br /> <br />Fax-813-780-0021 <br /> <br />,/ 1 ~D1 <br /> <br />813-780-0020 <br /> <br />I <br /> <br />I <br /> <br />I <br />1 <br />I <br /> <br />S~ i <br /> <br />I P~RCEL ID#I <br /> <br />D NEWCONSTR E3 A ID/ALT D <br />D INSTALL R~PAIR <br />PROPOSED USE D SFR D CdMM D <br />TYPE OF CONSTRUCTION D BLOCK D F+ME D <br /> <br />DESCRIPTION OF WORK I I <br />I <br /> <br />BUILDING SIZE I Ie:::>. X 10 I sa FOOTAGE I / ~ I HEIGHT I f / <br /> <br />".II...'llr.IIII...II....."II.......IIIIII......."..,.........111.'.111....111...11.........11......11111......111111....1111111....11....11.11' <br /> <br />~ BUILDING 1$0'1 &<9 , ~ 1 VALUAtiON OF TOTAL CONSTRUCTION <br />o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY <br />o PLUMBING 1$ I <br />o MECHANICAL 1$ I VALUArON OF MECHANICAL INSTALLATION <br /> <br />o GAS D ROOFING D S1ECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLIOD ZONE AREA DYES DNO <br /> <br />Owner's Name C 1'\ R. L <br /> <br /> <br />Owner's Address I 5 ~ 'I 3 <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />C-l4s-r~ <br />5--th S'T <br /> <br /> <br />Owner Phone Number 15/5 -7~~- S' <br />Owner Phone Number I <i?/ 3 - ;;l.. 70- 9 .Lj 0 if <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />5c').L/3 <br /> <br />5 "t t-, <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br /> <br />W.R.E.C <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />II <br />I <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />I <br />1I1111II1111111I11111111111111111111111111111111111111lillllllllllllllllllllllllllllllllllllllllllllllllll1I11111111111111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minim.um ten (10) working days after sUbmitta. I date. ~equired onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for ~ubdivisions/large projects <br />Attach (3) complete sets of Building Plans plus a Life ~afety 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 wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. I <br />....PROPERTY SURVEY required for all NEW constr+tion. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 upgra es 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 AlC <br /> <br />Fehces (Plot/Survey/Footage) <br />I <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />