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` I 813-780.0020 City of Zephoffls Permit Application Fax$13-78DAM1 <br /> Building Department ii�� <br /> Date Received n Phone Contact for Permiffhing I./) <br /> Owners Name e 1't0�1 L7�lpiT Owner Phone Number <br /> Owners Address D T 14 p Pi Owner Phone Number <br /> Fee simple Titleholder Name Owner Phone Number <br /> Fee Simple Tdleholder Address <br /> JOB ADDRESS %0 0� ve <br /> SUBDIVISIONryy Ai'/ <br /> SUBDIVISION PARCEL IDN A 4; l4 2� <br /> (OBTAINED FROM PROPERTY TAX NOTICE <br /> WORK PROPOSED a NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q' BLOCK 0 FRAME = STEEL = <br /> DESCRIPYONOFWORK BS�� l,�Gt>� �L` AN e-11c� aTAJ lie �O'n <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING s <br /> MECHANICAL 11 <br /> 5!le, <br /> VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPS <br /> SIGNATURE REGISTERED YIN I FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN F Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREY, LtLN <br /> Address License# <br /> MECHANICAL COMPANY �T/GS <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I YIN I <br /> G <br /> Address GN Z- 5 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRE, LY/N <br /> Address License# <br /> 11111lltllllllllllllllllllllllllllllllillllllllllllllllllllllllllil <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)wtxidrg days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SIR Fence installed, <br /> Sanitary Facilities a 1 drmrpster,Site Work Permit for rA, visions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plants plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woddng days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Slit Fence installed, <br /> Sanitary.Facilities 81 dumpster.Site Work Permit for all new project,.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dbeetiotrs: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25W,a Notice of Commem:ement is required. (AIC upgrades over S75W) <br /> Agent(for the contractor)or Power of Attorney(for the Owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if,shingles Severs Service Upgrades A/C Fences(PlotiStuvey/Footage) <br /> Driveways-Not over Counter if on public ioadways..n6eds ROW <br />