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City of Zephytills Permit Application Fax-813-780-0021 Building Department Date Received �2a vy_r,lr�I I 1 1 Phone Contact for Permitting -- Owner's Name J b'1 c r , r-� c: Owner Phone Number ; Owner's Address PC.O +_T le:I e c:.,4:� 'n" p�' ��sa^E4J J� � .�Owner Phone Number Fee Simple Titleholder.Name ry-} y� Owner Phone Number Fee Simple Titleholder Address p JOB ADDRESS O G p \j LOT# �U SUBDIVISION ✓ �' (" C�C�� PARCEL ID# o `" 61 O (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT SiGN 0 DEMOLISH •INSTALL_ • REPAIR PROPOSED USE F-9-- .SFR COMM , OTHER TYPE OF CONSTRUCTION " �7` BLOCK r: FRAME STEEL DESCRIPTION OF WORK l `� ��T'�r�� 'I'Dej. BUILDING SiZE �^ i� SO FOOTAGE (nm HEIGHT =BUILDING $ c- ( VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $. 40 AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION too .0 GAS ROOFING � SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO -6-➢-»III-➢-1-1-4-➢-➢-i-T-➢-➢--0-➢--➢--E-D-I--0-L-1--6�-i-t--0--G+-"r-: "-%-3�-v-:�-P-i--9-C-`w- -3-8- -}�, 1 ' ➢5�--1-1-; 11 'v�rI I ➢ ii-➢«,1--1-i-�- BUILDER .�� - /��_______� COMPANYa $"D rJ '" ' J' SIGNATURE REGISTERED Y/ N FEE CURRER Y/N Address / [7�j 1�l�Ke's.!n t" 1 -�.�� C`3 ` License �LECTRiCiAN r-, �' �- COMPANY 14en is _C-b-1 C SiGNATURE REGISTERED Y/ N FEE CURRER Y/N Address ' - � � �`� , License# l PLUMBER "� * ' COMPANY =p1jule .r. !'�•� �*�= 'you �� ;C �,i9 .SIGNATURE REGISTERED Y/ N FEE CURREN Yp/N Address r� � ! mlf�', ,!`� `�" License# A' —r-- � MECHANICAL ..'"'"y-G COMPANY SIGNATURE f� � � '" ^^c '�`-`REGISTERED YK/ N FEE CURRER Y/N Address ✓ - `uf' � s�* fa a ,�. � ` ' License# c�qr0. ,j 0k6 mod' OTHER _ -.,- COMPANY A G „%�f)f {r j' �`"-a C. SIGNATURE ATM REGISTERED Y/ N FEE CURRER Y/N Address e�-��~ a� License# liill ➢ TIi' illiilTixtiiiiTiTliiliT ➢ IiilliiiTiiliTTllliTil ➢ iTI111111 ➢ 1 RESIDENTIAL Attach (2)Plot Piano; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)v:7orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit,Fence installed, Sanitary Facilities& 1 dumpster;Site Work'Permit for subdivisions/large projects COMMERCIAL Attach(2)completf• sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new-construction. Minimum ten (10) )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities r..1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach (2)sets of E-igineered Plans. "PROPERTY•St!RVEY required for all NEW construction. . ..i..b.1-i..l-l--T-4-l.�-I..d�1�1--➢-1- '•_- -"�.-4.i-4-1.-',-1-1-d..i-1-i..1-.1-➢-2f-4-&-L-A-&-.i-t-➢--1->.-1-�-.5.6-a-1�.yf-.1-i-�1-b�8-�-6�5 Directions: Fill out application completely. Owner�Contractor sign back of Oplication,notarized if over$2500,a Notice of Comn:tincement is required. (A/C upgrades over$7500) '* Agent(for the-contractor)or Powny of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•ifshingles Sewers - .aervice Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..rieeds ROW