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• 813-78M20 City of Zephoills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Perninting -49/0) 7,?;Z T0 I�1 <br /> a I a a , I . . . . . . . . . . . . gas . <br /> Owner's Name owner Phone Number <br /> Oner.Address j)0,0./6 —7 Ab j Owner Phone Nurlber <br /> Fee Simple 71111oholder Name owner Phone N..*,- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 12i-0617 1 - /7;145 LOT# <br /> SUBDIVISION PARCEI 10#1149 a-?/,a 9/ LOW 42&0-0440 <br /> (OWTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL o REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCK Q FRAME STEEL <br /> DESCRIPTL'ON OF WORK 9e6" :0 a 4 m-"A (Arcs -71 n"i <br /> L/BUILDING SIZE ISO FOOTAGE HEIGHT <br /> -EBUILDING. . . . . . . . . . . . VALUATION.OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R,E.C. <br /> =PLUMBING 1$ rl" 'Z'I <br /> =MECHANICAL IS gq96,7 VALUATION OF MECHANICAL INSTALLATION <br /> =0AS r7 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F - REGISTERED I YIN FEE CURREK LILN J <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE RMISTERED Y/N IS:CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRM L_LLN <br /> Address License#F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISIERED I YtN FEE CURREN I YIN <br /> Address A] ZI/l/AE Uoense# <br /> OTHER I I COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address Ucense#F- <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 ton(10)worldnif days after submittal data. Required onsite,Construction Plans,Stormwater Plans wl SIR Fence installed, <br /> San"Facilities&I dump~,Site Woric Permit for subcNsionsfiarge 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 oonstruction. <br /> Minimum ton(10)working days after submirttal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Fadillies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Mach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> ,,If over$2500,a,Notiwot Commencement isrequired. (Alc upgrades over$Two) <br /> Agent(for the contractor)or Pow r of Aftomay(for ftowiier)`would be Someone with notarized letter i6m owner authorizing same <br /> OVER THE COUNTER if <br /> I (copy of contract required) <br /> shingles ningles Sawars ServIcoUpgrades AfC Fences(Plot/Survey/Footage) <br /> Driveways.Not over Counter If on public roadways.:rieeds ROW <br />