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813-78M20 City of Zephy��rhilis Permit Application Fax-813-78a4021 <br /> SU PI <br /> Data Received Phone Cornet foi Perrihittiri <br /> Owner's Nmne Oitr��t ( SCpO� /yQ� (f�f� ^�( . Owner phone Number <br /> OwW.Address 851 PL f 4 /�(u'l a7 /—c—�11 ) Owner Phone Number <br /> Fee Simple TRIchoWer Name` Owner Phara Number <br /> Fee Simple Titleholder Address /t <br /> JOB ADDRESS 3 Ises25a A e.. LOT# <br /> SUBDIVISION � � FARCES IDS JyJ-�Cv-2/-t5(�t(3-013C9c�—c5�t 0 <br /> (0111AmEOFROMPROPCRTfTAXWOMS) .. <br /> WORK PROPOSED e NEW tONSTR 8 ADD/ALT SIGN d C] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM t_.� OTHER � <br /> TYPE of CONSTRUCTION p eLoctc [l FRAME C} STEEL Q C <br /> Q <br /> DESCRIPTION OF WORK j <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT$ VALUATION OF TOTAL CONSTRUCTION <br /> 2 <br /> BUILDING � off: <br /> MELECTRICAL S 5Ur �'� AMP SERVICE Q PROGRESS ENERGY Q WaE — —� <br /> QPLUMBING is ! 1 <br /> QMECHMiCAL $ VALUATION OF MECHANICAL INSTALLATi "f <br /> =GAs Q �ROOFING p SPECIALTY j OTHER I/ <br /> FINISHED FLOOR ELEVATIONS (�— FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE i REGISTERED Y/N EXEQPREh Y/N <br /> Addeasnt1 <br /> ELECTRIC" qq�'�, � COMPANY ,EW t ��cc .1 <br /> SIGNATURE `` '' pry j. I REGISTERED Y II N I r.CURREnc Y 1 N <br /> Add. �'"11 S_9I 1 C1 OC c LiamtseB It J��LJ( XJ � <br /> PLUMBER 1 COMPANY I._ <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Ly i NN <br /> Address { Lhtansa#1 - <br /> MECHANICAL. COMPANY <br /> SIGNATURE ". REGISTERED I Y/N FEE CUFW43, Y t N <br /> Addresa License#( �� <br /> OTHER L COMPANY <br /> SIGNATURE ( <br /> i { REGISTERED Y l N FEECURREh .X N�� <br /> Addmss ? License#I - I <br /> rrirrerrrrrrrrrrr �rrrrrrrrr=rrrrr � r � rrrrrrrrrrrrrrrrr �rrstr� rRrdi� rRr>f <br /> RESIDENTIAL Attach(2)Ptot Plans:(2)sets of BuWna;Plans;,(1)set of EnaW Foams;R-T.W Permit for new consbuct on, <br /> dVHI=um tan(10)woddng days after mbmM date.Required onsite,Construchon Plans,Stommater Plans w/SMi Fence Installed, <br /> SanMary Facilities 81 dumpsteh,Site Work Pem it for subdtWsionsltarga projects <br /> COMMERCIAL Attach(3)complete sets of BuBdng Plans plus a Ufa Safety Page.(1)sat of Energy foams.R-O-W Pemfd for now won. <br /> ffinlmum ten(10)wovift days alter sut fttal date. Requhed onsite,Constntcdon Plans,Stommater Plans w/SIR Fence Installed. I <br /> Sanitary Fadilles&I deanpster.Site Work Permit for SO new pm1acts.Ali commercial requRements must meet compliance <br /> SIGN PERMIT Adaeh(2)sets a(Engineered Plans. <br /> "PROPERTY SURVEY rakµraad for a9 NEW uGioh. <br /> D1radlorhs: t <br /> FM cud apptieation comp%". <br /> Owner&Contractorsign tack of app',iaatlon,noWked <br /> If over$2W.a Notice o1 Comammen"wt Is mqulmd. (A(C upgrades over$TWO) <br /> Agent(tor the contractor)or POwar of Attomey(fo►Oae owner)wouM be someone vnth notarized War form owner authortzing same <br /> OVER THE COUNTER POWITTING T—d of Ap;Zcs#-Orly) <br /> Reroofs if shingles SOMM Semco Upgrades A/C Fences(PicbSurvay/Footage) <br /> Drivevisys-Not over Counter Hon public nadways..needs ROW <br />