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rt 1 813-78D-0020 City of Zephoills Pdrmit Application Fax-813a80-DO21 <br /> Building Department <br /> Date Race Wed /y) Phone Corrtaet for Permitti <br /> �i ng <br /> Owners Name �e /� (ri Owner Phone Number 8r 3- <br /> Owners Address 5220 -/ m 67- e e C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address' c r <br /> JOB ADDRESS 5a O o j PLOT# Q� <br /> SUBDIVISION PARCEL <br /> (OBTAurm FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CDNSM ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK'. `�0 FRAMES = 4�e ,v)STEEL = <br /> DESCRIFrZN OF WORK �w /4 C 1 u`/qw , ' `S R Ern? �T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL. $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMIBING s <br /> OZ'N'lECHANICAL $/1 OD VALUATION OF MECHANICAL INSTALLATION <br /> =C•AS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREr Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREP, Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY PAS'6�95 6-7A � <br /> SIGNATURE gg REGISTERED I YIN FEE CUFR Y!N <br /> Address License# Z- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address License# <br /> 111111111,1111111111111111111111111111111111111111111111111111111111 <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 ten(10)vmrldng days after submittal date. Required onsite,Construction Plans,Stomiwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subclivisions/large 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 construction. <br /> Minimum ten(10)working days after submittal data. Required onsita,Construction Plans,Stomrwaater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.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 /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notar¢sd letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Severs Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />