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813-780-0020 City of Zepk�yrfiills Permit Application Fa�c-813-780-0021 <br /> Building Department <br /> Date Recetved phone Contact for Pertnttting ��� g 7G - �3 Z� <br /> Owners Name '�-��� �'�-L L�L Owner Phone Number ��3 ' �� S� <br /> Owners Address /u"L"t-o G�t�� /�.�L /�r Owner Phone Numher <br /> Fee Sfmpie Titieholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address - <br /> JOBADDRESS 380 �vI �yt✓a/��� �� LOT# Z-`1�2� <br /> SUBDIVISION � �"�c�� �I r� ppRCEL ID# � '2 G �2�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED e NEwtoNSTRe ADD/ALT Q SIGN Q Q _DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM �] OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �LO C-c ai.�. ��/ � � �li� I.��a+'�. �3 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT C� <br /> Tl"1'TITITTrrP'[Tl'7�l'T[9�TlTt�rrP'ITITrI�rl"IT�TrTrTI"1"[9Tl'R'7�rrlTrrT{TrTI"1"[� <br /> BUILDING S b g 2 _ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALIY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> T��Tl�T��T��T�i;1�T�Trrr1"�1�TTr�T'YTP'P7�TrTi�Tl;TtriTrTTIrTiTIrT�Tr <br /> - v Y��� <br /> '�c�k � �o�.S <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address a � Y "�� `�� C��1— o�4 ( <br /> ELECTRICIAN ' COMPANY <br /> SIGNATURE �cisT�o Y/ N F�cuwxFt. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br />, SIGNATURE REGISTEitED Y/ N FEECURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y!N <br /> Address Lfcense� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N �cuRtxen Y/N <br /> Address Llcense# <br /> IIt1t11t1tI1111111111I11111111111t11II111illlltlltlllllllt111111111 <br /> RESIDEN'f1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permitfor new consWctton, <br /> Minimum ten(10)working days after submlttal date. Requlred onsite,Constructfon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facifitles&1'dumpster,Slte Work Pertnit for subdlvisfonsAarge pro)ects , <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construcUon. , <br /> Minimum ten(10)working days after submittal date. Requlred onsfte,ConsWction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilitles&1 dumpster.Site Work Pertnit far all new proJects.All commercfal requirements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fo�aIl NEW consWction. <br /> •a-•1-1-1-{-L-t..l-r-Ff-Fd�-F-L-I-ia-I-�-1-d-1-�•�-S�d-1-1-t-1-4-1-F-t-1-I-d-(-d-i-4-1-S-1-d-f--F-i-1�-4-F-H�-1-�L-f.a..l-E-f-I..4.1-. <br /> Dtrecttons: <br /> Fiil out appfication completefy. <br /> Owner&Contractor sfgn back of appfication,noterized <br /> If over$2500,a Notfce af Commencement is requfred. (AIC upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same � <br /> OVER THE COUNTER PERMITfING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> II <br />