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813-7804)= City of Zephoills Pdrmit Application Fax-813-78MO21 <br /> Building Department <br /> Date Received -F <br /> Phone Cadad for Permitting <br /> ownees Namei-Molng-5. 6 Owner Phone Number <br /> J--za,ev/ P --] <br /> Owneft Address Owner Phone Umber (TI-4 &2 <br /> Fee Simple Tdleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ----] <br /> JOB ADDRESS 2,�zr 7--�a1z,, ,ri- LOT, <br /> SUBDIVISION 7 PARCEL IDXP747�/ 4/70,40 <br /> (OSTAUM FROM PROPERTY TAX NOTM <br /> WORK PROPOSED. NEW aMM Eff *��ADDIALT SIGN DEMOLISH <br /> R INSTALL AIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK -66tZ' 95AI I—fv <br /> AE�: <br /> BUILDING SIZE Sa FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . <br /> UILDING 1$ <br /> . . . . . . . . . . . . . . . . . . . <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY = W.'R.E.C. <br /> =PLUMBING <br /> [EflECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> ACAS 0 ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK <br /> Address I License#F— <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/N I FEE CURM L�Y�—N— <br /> Address License# <br /> PLUMBER COMPANY N SIGNATURE REGISTERED I YIN FEE CURREK Lj L j_ <br /> Address License# <br /> 7 <br /> MECHANICAL COMPANY 1� <br /> SIGNATUREREGISTERED I YIN FEE CURREI, LjLNj <br /> Address Fit U c a r Iss a# <br /> OTHER COMPANY F <br /> SIGNATURE F =' REGISTERED I Y/ N I FEE cuRREt, <br /> Address F— —1 License# <br /> 111111 1111111111111 Neill 11111111111111111111111111111111 1111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ton(10)woricing days al submittal data. Required make,Construction Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities&I dumpstGr,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets Of BLWftg Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum tan(10)waricing days after mbfffW date. Required msite,Construction Plans,Stormwater Plane wl Silt Fence installed, <br /> Sanitary Facilities&1 clumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMrr 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 /> ubv&-$25W,a.Notice oCqMM�!�ismquked. (A/c upgrades over$7500) <br /> Agent(for the contractor)or Power of At`to--y'(fo'r­th—. would be.with notarized letter from owner authrizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Refoofsifshingles Sewers Service Mpgrades,kC Fences(PlotSurvay/Footage) <br /> Ddveways,-Not over.Counter,if on publie'roadways..he dcls ROW <br />