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813-780-002D City of ZephAills Permit Application Fax-813-7801-0021 <br /> Building Department. <br /> Date Recewed ContmA for Pennitting F,61-5 1-72a-501,5 <br /> 118415 . . . . . . . . . 912624 . 5 . . . . . . . . . . . . .... . . . <br /> Owner's Name gveEdt LotL`6. 6Kr 0;vfw Phone Number H07-573-q/81 <br /> Ownws Add.la TS;Q G A Owner Pi..NU"d)" 1q0 7—67q— -73 11 <br /> Fee Simple'ritleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Lar# <br /> SUBDSION PARCEL ID#FJ�1 C�&Q I QQ'90 1001(:!� <br /> IVI <br /> E (00TAMD FROM PROPERTY TAX NOTICE) <br /> R <br /> WORK PROPOSED NEW 10'000 ADD/ALT SIGN DEMOLISH <br /> INSTALL ALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION M BLOCK 0 FRAME Q STEEL <br /> DESCRIPTION OF WORK RIC 67a(we�,ofe, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> ]PLUMBING J$ <br /> M151-ECHANICAL is Lt6qt?';�-" VALUATION OF MECHANICAL INSTALLATION <br /> r-10AS Q ROOFING 71 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREh <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRU, <br /> Address License#F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK LY/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 1&-Yh SIGNATURE REGISTERED I l N FEE CURREE!" YIN <br /> Address 1444-1 ft/�-n Rd Z-h 1116 M-m Lmnse#1 rjq-c 10 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK L�Y�--N <br /> Address License# <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 ten(10)wwMng days after Submittal date. Required onside,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San"Faciliks&1 dumpster.Site Work Permit for subffivIsiorge projects <br /> COMMERCIAL Attach(2)complete sets of BWWM Ram plus a Life Safety Page;nalla(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Min—ten(10)—dm*days after mbnuW date. Regained onstle.CaIstruchm Plans,Staffnwater Plans wt Silt Fence installed, <br /> Sanitary Facilities&I dumpstar.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *PROPERTY SURVEY required for all NEW construction. <br /> itt"I'111 — <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarzed <br /> If over S2501),a Nallm of Commencement is required. (Alc qWades over$7500) <br /> Agent(f91 the contractor),Pr,Power owner)would be someone with notarized letter*from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy Of Wntract required) <br /> Reroofs ifs-�11113105 Sawers Service Upgrades A/C Forms(PIDI/Surveyffiootage) <br /> Driveways-Nofover Coun!er Ifon public roadways,.noods ROW <br />