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813-780-OOM City of Zophyrhifls Permit Application Fax-813-780-0021 <br /> agent <br /> Daft Rd..d F Pf..cmdiopemaiing .1( 911 <br /> I I a a I I s a a x a a a 9 a a a a . . . .M73-7907-.777/2 <br /> owners Nwne Pho <br /> ne one Number <br /> e <br /> a Jy gr�P,4- owner Ph.Number F-- <br /> Owner's Address '04 <br /> Fee Simple Titleholder Nam I Owner Phone Number <br /> Fee Simple TMdwkkr Address JOB <br /> 9 ADDRESS 16-73f6' PPa& Or, LOT 0 <br /> SUBDIVISION PARCELMI/10 P16 AM)A <br /> (0EfrA9IEDFR=r`R0PE"y TAX MnKM1 <br /> WORK PROPOSED NEW CONSTRY,ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF comsrRuanoN Q BLOCK 0 FRAME STEEL <br /> Du At AM <br /> DESCRIfrr,ON OF WORK Res, ff/C eb��- <br /> BUILDING SIZE SO FOOTAGE,= HEIGHT <br /> $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL j$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =rLumsiNG $ <br /> i <br /> [2161 24-011) <br /> ECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> CAB ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY F <br /> SIONATURF REGISTERED I YIN FEE CURREh LILN J <br /> Address License#F-- <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN I YIN I <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YfN FEE CURREK I YIN I <br /> Add. u..# <br /> MECHANICAL COMPANY 9-M /--14,0)9A k 67 9 <br /> SIGNATURE REGISTERED I YIN FEECURREJ, I YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh LILN_j <br /> Address U—#F— <br /> RESIDENTIAL Aftech(2).Plot Pleas;(2)sets of BWWv Piew,(1)set of Energy Foraw,R-O-W Permit for now construeltion, <br /> Minimum ton(10)woroft days aft submiftal date. Required onsite,Cot Pion Plans,Starmwater Firms vi/SIR Fence installed, <br /> Sanitary Fadlifies&I dumpster:Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Aftch(2)complete sets of Buftng'"plus a Lft Safety Page;(1)set of Energy Forma R-0-W Peffrd for now oonsbuction. <br /> Urftuin Lan(10)%WwV days aftwaftn*Wdate. Requiredortsits Construction Pfans,SwernwitterPlans wl Silt Fence installed,. <br /> SIGN PERMIT Attach(i)sets of Engineered Plim. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . <br /> FiII-out application completely.-.,, <br /> owner&Contractor sign baf*'ofapphp�afim n6ibriied, <br /> If over$2500,a Nod=ofCornmencerneId Is required. (AIC upgrades over$7500) <br /> Agent contractor).or Povesi ofA#Dmey(for theowner)would be Someone with notarmed letter from owner authorizingsame OVER THE COUNTER PERMrrT1NGmofs if (oopy ofoonbadrequired) <br /> Re shingles Sewers.- Servioit I.Wradw-A/C Fences(PbUSurvey/Footage) <br /> Driveways Not over Couritei If on public roidwaifs-needs ROW <br />