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--—---- uity of Zephyrtiffis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data*Received Phone Contact for Psmlttlng_ <br /> - . . . . . . . . 1CM <br /> Owner's Ms.. Am Owner phone Number <br /> OmsesAddress li-Lcon?,—:ti:-Ierc)m'br Tff in 330P: Owner Phone Number <br /> Fee Simple Titleholder Name (VIL12- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> i JOB ADDRESS ft.f L iS'4- LOT# <br /> SUBDIVISION PARCEL iD# 7)-0100-006W <br /> • (OBTAINED FROM PROPFJMTAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME U STEEL <br /> DESCRIPTION OF WORK L4h Z- <br /> IM -4. <br /> Q' <br /> FOOTAGyj E HEIGHT <br /> BUILDING SIZE SIQ ;E <br /> ... . . . . . . . . . . . ... . . . . . <br /> UILDING r cot) VALUATION OF TOTAL CONSTRUCTION <br /> . . ( � <br /> =ELECTRICAL oot) AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> I' , <br /> =MECHANICAL 11 6'rjok); VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 1:211, ROOFING' SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEEVJRRE& LILN J <br /> Address 112(402--�'-ls"tz%-hr TAhaga_ License#FC-8--E Trg <br /> ELECTRICIAN COMPANY . 4P diq Ele - C <br /> SIGNATURE I f, .7 REGISTERED YIN - FEF cfjRRE& I Y-1 N <br /> Address 13401) 'ni Jails ftEl '5. X _ License#I R-12,0632-11t;- <br /> PLUMBER COMPANY <br /> SIGNATURE Fog, REGISTERED I YIN�_- I 'FEECUPJ�eh I 'PIN <br /> 7—i - <br /> Address 73,Nx r4w, m MaT_ Llcense#E f-c 691 �-Z <br /> MECHANICAL COMPANY i 91r04" %JC A W <br /> SIGNATURE o I REGISTERED IF 1'N FEE CURRE?, -t'j/N J <br /> Address 7 rix-Ow-ir 0 Wew OfA&- 0 License#L(Acnn�Ga <br /> OTHER COMPANY KC- <br /> D)2MICk <br /> SIGNATURE I YIN I Fmcumm� -L_YIN_JJ <br /> Address J 3 License# <br /> [ if III 11111111111 I'll III fill 1111111111 1 111 I'llililltillill <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;"-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpstec Site Work Permit for subtiMsIons"e projects <br /> COMMERCIAL Atfach(2)complete sets of Building Plans plus a Ufa Safety Page',(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1O)woTkIng days after submittal date. Required Onstte,Construction Plans,Stormwater Plans wt Silt Fence installed, <br /> San"Facilities&I dumoster.Site Work Permit for all new projects.All commercial requireirlents must meet com p1lance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *—PROPERTY SURVEY required for all NEW construction. <br /> &. . <br /> . . . . . . . . <br /> Directions: <br /> Fill out applicator)completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over MOD,a Notice of Commencement is required. (AIC Upgrades over$7500) <br /> Agent(forte 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 /> Reroois if shingles Sewers Service Upgrades A/C Fences(PlotfSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways.,needs ROW <br />