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513-78MMO City of Zephylhille Permit Application FOX-813.780.0021 <br /> Building Department <br /> Date Reglvad Phone•CoatactforPernilttln <br /> Ownes Name Owns Phone Number <br /> OwnsesAdd— —.I-- <br /> Owner Phone Number <br /> Fee Simple Tldetioldar Name Owner Phoria Number <br /> Fee Simple TRIsholderAddresa <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROMPROPERTYTAXNOTICE) <br /> WORK PROPOSED. NEW-OUM ADD/ALT = SIGN 0 �] DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED-USE SFR. CONIM = OTHER <br /> TYPE OF CONSTRUCTION Q. BLOCK • '0 FRAME STEEL Q " <br /> DESCRIPTION OF WORK /�1�• C.fi�� <br /> BUILDING 812E SQ'FODTAOt3= HEIGHTIII,J,I .� WINUM <br /> =BUILDING $ f VALUA-noW 1F TOTAL CoNm, IiCT10N <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY p W.R.E.Q <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF,MECHANICAL INSTALLATION <br /> QC,+,AS Q ROOFING = SPECIALTY 0• OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY- <br /> SIGNATURE REGISTERED I Y IN I FEE CURREN <br /> Address U�iree,fJ <br /> i <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE FWSTERED 1.Y1 N FEE•Cut:Rw, :.YF <br /> Address License# <br /> PLUMBER COMgmy _ <br /> SIGNATURE' REGWFIE pI Y/,. FEE CURREA Y,1 N. <br /> Address License# <br /> MECHANICAV C0111P/1N)C - <br /> SttiNATURE• F31REfl, X/.N FEE CURRFA. :.Yl N <br /> Add <br /> rerie license# <br /> i <br /> 031M ;COEAPA►(Y <br /> SIGNATURE REGISTERED .11 YIN .. .FEE CURB!A I YIN <br /> Address' • t. i.: Lksrroe#' <br /> RESIDENTU(L;r.=Ada: 2 f?tci�P,let(sz •�`..`. " ' ., � <br /> � ). (2)sets:o�Bi�l'dfn�Plae's;(�)'eetdf�Eriergtr;�oer�'R-O-WPetmitforeewcdnelrpoUon, <br /> - �. BNnI torestart(:1A)4wpdclrlg}deysrllRet;B(ibmlttet'dafi.��Regidred onslCe,•Coha'fiiiotlonFlane;Stormuvater P(anew/'Slit Fence tnslalled, <br /> ' ..4• EQWIItle;�:8a.1.xlgR?P.Bteri.Sit�;W4�(�tfnnitforsuBdhi1514n9!)ptgQ:Pro)et�s'._. • <br /> COMMERCIAL Atta h(33�eomptete'aefs'af Bulitltiig Plans pkrs a Lde'Safe(y Paga(1y set of Energy Fomrs R-0-W Permit for new conabuetton. <br /> Minimum ten(10)warking days after submittal data Required ensile,Construction Plane,Stomnvafa Piene w/SAt Fence Installed, <br /> SardtW FadUdes&1 dumpsta.Site Work Permit for ell now.prolticts.Ali commercial requlrements.must meat compliance <br /> SIGN PERMIT Altself(2)"s"e(9"ofF.ngaere&P.,Igtis - <br /> °"'PROPERTYSURI/EYroqulradfgJal(•NhlN,00rlst(uctlon.. _ , <br /> Putout application completely. <br /> Owner 8 Contractor sign back of appilcallon,notarized <br /> If over t)2500,a Notla of Commencemant Is required. (AlC upgredes over 371i0G) <br /> Agent(for the co�or Pdr,,*of Attorney(for Oie owner)(would be someone wllti notarized letter from owner authod dng same <br /> OVER THE COUNTER M MITTING --{Rent of-ApplicefiorrOnly)- <br /> Reroofs if Wngles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Orlvewsys-Not ova Counter If on public madways..n ed-s ROW' <br />