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City 0'f Zepf yrhills Permit Application Fax-813-780-0021 Building Department F,.Date Recgived ��Z _�V` �r� r. r�Z� �r-r" .. _' Phone Contact for Permitting - p Owner's Name ,; n �": Owner Phone Number ya 3• s Ll I5r-o��,_T�lee �� ,n.. p f� 'T,,-- �-.c� .' '5 Owner's Address f r Owner Phone Number Fee Simple Titleholder Name j ,ri: +C Owner Phone Number Fee Simple Titleholder Address el<) - JOB ADDRESS Z, ` .'g r- ; hid-- LOT# SUBDiViSION �� la•P-('C_- eAC� PARCEL ID# c ��r.��" � (} rn�,�'' (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED ( `") NEW CONSTR R 1i ADD/ALT SiGN DEMOLISH��l1 INSTALL. • REPAIR PROPOSED USE ©_ SFR COMM OTHER TYPE OF CONSTRUCTION . �-'' BLOCK FRAME STEEL DESCRIPTION OF WORK �'-'� `,'�/ f e �'�, 'Sa� �,�ns c ' �^► ^-' c ` BUILDING SIZE 1 1 L- !� SO FOOTAGE HEIGHT "rTra"t'-r' 'Z'-r-'rrr'-t'Tt"1t'��i"r�1-r-T-r�-1-Tr-7't"0"it�'A� r•9"e��-r'®"'r1--rr'9--ear'Y-r" A I x r-t- . BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $, AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ZC =GAS �/r ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO -C-G-i-.T"'6-f-0-i'-4-i--'�'-1--1'-F-C--C-�"+-7--G--F-9-T--4-1•-:--1-°'"R'-1-�-C--➢-`�'-G"'�-i--i-*'-5--i-�-�1��•.-i��'-"�.' fl-s-;-A-i�;r.fl�t�i--sir-1-,1-i-•�1--C-•P�"- BUILDER COMPANY SL/a+ - �0 SIGNATURE r� REGiSTE-RED Y/ N FEE CURREN Y I N Address 1 ��r <i�.� ,� r" )�r�� License# - RICIAN /' COMPANYrABni„ N'T SIGNATURE d REGISTERED Y/ N FEE CURREN Y/N ,s Address dFd.' �:>`d-'oOO License# �% t (s� . r � . _ Y f 1 C" i, PLUMBER f.* � ^ — - COMPANY ..` ��/ �' ..,1�F,16" F ' ��"a �� .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address < �r«i �'�'.— " License# ( rc 0 51//_2�y MECHANICAL � ,,s,.. COMPANY p"',f 25 "SIGNATURE 9�" F.c^'. �' �" _ _REGISTERED I W/ N FEE CURREN Y/N Address J�r ,� / �„x..X0.,^, e5V License# h OTHER T.�_.-] COMPANY l' ,.t' / SIGNATURE ^�. i REGISTERED Y/ N FEE CURREN YIN Address 1 f�-� /�.� n� £j� License# F_� Illilitli' TllilTili .- 11TiI111111111i11111111111111111A1111111111111111 RESIDENTIAL Attach (2) Plot Plan (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten (10)v:•._,rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, Sanitary Facilities b 1 dumpster;Site Work'Permit for subdivisions/large projects COMMERCIAL Attach(2)complett sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new,construction. Minimum tan (10)% )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities.:, 1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance SIGN PERMIT Attach (2)sets of F.igineered Plans. *""PROPERTY'Sl'RVEY required for ail NEW construction. -i,-L-i�-0-L..,G-1•-T-.�.-+:-•-•--�'-.1-.i.:•�.::-.l..iS-I:.d-i�6-.b--dsl•-�-'v:D-.i.+d-.11-.b-.b-i-.�-i-'{...8--1-E-.8.-1-.»»I-S-,d-A•-6•-IS�T.�-.II-1-L6B-6�-�...i�6..1-4--Il�b-6..t Directions: Fill out application completely. Owner�Contractor sign back of >>plication,notarized If over$2500,a Notice of Comn•t•ncement is required. (A/C upgrades over$7500) ** Agent(for the-contractor)or Pow(,r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles • Sewers ' ';ervice Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..Aeeds ROW