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813-78070020 City of Zephoills Permit Application Fax-81"BG-O021 <br /> Building Department <br /> ng Date Recei-ved Phone Contact for Pennittl 81f 0i5k <br /> owners -i-- <br /> Name I/-- owner Phone Number <br /> Owners Addnessr�—S e- <br /> -3/ 19'W'- re-v 25-'. owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address --] LO`r If <br /> JOB ADDRESS <br /> SUBDIVISION % PARCEL ID#F 02& OV A254 M4�Z"?4 <br /> (0iffAMM FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW coNsTRCEK-`ADD1ALT SIGN DEMOLISH <br /> R INSTALL L_J REPAIR <br /> PROPOSED USE = SFR M COMM OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCK E3 FRAME STEEL <br /> DESCR]Pr,ON OF WORK 1'.'21 A 5 jQOA/, <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> "BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL IS AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> "PLUMBING Is <br /> [��IECHANICAL 1$/ INSTALLATION <br /> _V1 VALUATION OF MECHANICAL <br /> =GAS ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA "YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED I Y/N I FEE CURREN LILN J <br /> Address License#F-- <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE k REGISTERED I YIN FEE CURREN I YIN I <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN L�Y�—N <br /> Address License# <br /> MECHANICAL COMPANY 91,10)9,1:2 4 16 <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y/N I <br /> Address License# 44,?.?*g <br /> OTHER COMPANY F <br /> SIGNATURE REGISTERED Y/N FEE CURRE!, I YIN <br /> Address License# <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)vvorldni;days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San"Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Energy Page;(1)set of Ene Forms,R-O-W Pannit for new cnstruction. <br /> Minhurn ton(10)worldng days after submittal date. Required onsite,Construction Plans,Stomweater Plans wt Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Ail commerdal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered plars. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Direectio ns.S. <br /> Fill out application completely_ <br /> Owner&Contractor sign back of appikartion,notarized <br /> If over SMO,a Notice of Commencement is requirect, (Alc upgrades over$7500) <br /> Agent(for the contractw)or Power of Attorney(for would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerooft if shingles' Semm' Service Upgrades Ale Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadwdys-ripeds Row <br />