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813-780-0020 City of Zephoilis Permit Application Fax-813a80-0021 <br /> Building Department <br /> Date Recehi d Phone Conh for Pemdtbn9 (V! ) 7 - O <br /> owner's Nam <br /> �7��-Owner Phone Number - r -aa� <br /> Owner's Address ; 11 A V =hl is Owner Phone Number <br /> Fee Simple TdieWder Name Owner Phone Number <br /> Fee Simple Titleholder Address c�,�� <br /> JOB ADDRESS 137A - � �� ills 3�+��Trq (�p��/�L/O�TT## q c�� <br /> SUBDIVISION o l � PARCEL IDi 34-2 5-0l 1-Q 170`"l•C -OSC1 oio <br /> (OWANED FROM PROPERTY M NOTICE) <br /> WORK PROPOSED e NEWCONSTR� ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = /BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Ur''!I C o/ess evan -Out <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =FLUMBING s <br /> Sz�tECHANICAL $ qqp� VALUATION OF MECHANICAL INSTALLATION <br /> =CM = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRREr Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREn L Y/N <br /> Address License# <br /> MECHANICAL COMPANY Ft3ahr GOS 0 T I I C <br /> SIGNATURE G�vv'U REGISTERED I Y/ N FEECURREK I <br /> ,Y`IN((�I <br /> Address r 15 A License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(10)xorldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)w otidng days after submittal date. Required onsite,Construction Plans,Storm+ater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new protects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> R over$250Q a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(forthe contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades.A/C Fences(Plot(Survey/Footage) <br /> Dfireways-Not over Counter if on public roadways-needs ROW <br />