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813-780-OD20 City of Zephoills Permit Application Fax-Bza-780-0021 <br /> : Buttding Deparbr-d <br /> Odle Received Phone Co/dyet rcr Psrndl�rrg I3) /8�S _ ��l <br /> ownwa Name ell G!. �N ownerp[1tNte Nwnber / `;Jo7 <br /> OwneYsAd !2b %I?1�Dr-.��. ownerPhonttmew., �- <br /> Fee Simple T Name 1 Owner Phone Iltmlber <br /> Fee Sirnw TNtehotder Address <br /> JOB ADDRESS t/ .. LOT# <br /> SUBDIVISION �ir1�1�'1Q� � PARCELOI# 103- "oCI L L9d(�0� d <br /> (OaTA41ED FROM pROPERIYTAX NO'fIGE) <br /> WORK PROPOSED e NEW C.aNWR1 1' ADDIALT C] SIGN C] p DEMOLISH <br /> INSTALL o REPAIR. <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK p FRAME Q STEEL <br /> DESCRIPVON OF WORK I tAdAMC rc4udl <br /> BUILDING SME SQ FOOTAGE F HFJCFHT <br /> =BUILDING I$ VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLU ING is <br /> MECHANICAL S VALUATION OF MECHANICAL INSTALLATION- <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA AYES NO <br /> BUILDER I COMPANY I <br /> SIGNATURE REWTERED I Y/N FEE CURREh L Y f N <br /> Address License#i <br /> COMPANY <br /> SIGNATICLAN REGISTEFtFD _Y!N FEECttRREA Y!N <br /> SIGNATURE <br /> Address License#1- <br /> PLUMBER COMPANY <br /> SIGNATURE REGra"TEREO YIN I FEE CURRET Y 1 N <br /> Address License# <br /> MECHANICAL �//K� COMPANY E� AJ r <br /> SIGNATURE _ REGIStEFtEO YIN FEED RRa YIN-1 <br /> Address Tl Alled A,1. LiCanse#L/7)w <br /> OTHER �, I{{ COMPANY <br /> SIGNATURE �. 1. I GI TERED I YIN FEE C=eR Y I N <br /> Address License# <br /> 11111III III IllIIIIll-hLIIIII.IIIII'1111-1,1111111.11111ii-i1111111111IuIII <br /> RESIDENTIAL Attach(2)Plot Plow,(2)sets Of SwVb g Plans:(1)set of Energy Faros;.R-0-W Pemrit'fcr nary Cars , <br /> WWmum ten(10)wmidm days after submittal date.'Required onstte,Consbuclion Plans,Stamrwater Ptans vd SHt Fence installed, <br /> Sanitary FedH@es&1 dumpster,Site Work Permit for subdvisionsAarge projects <br /> COMMERCIAL. Attach(2)ewnpk tq sets t BL ikft Plans pros a Life Se"?age;(1)set of Energy Fomrs.R-O-W Perm@ for new mnsbuctiom <br /> Mlnurtwn ten(10)wor"days after submittal datm Re*dW onsite,Casbtledon Ptarts SW mv+ater Plans W Sdt Fence utsta k4 <br /> Swdtwy Fearrdes 81 dumpster.Site Work Pemtit for all new projects.AH commercial most meet cOmpiianee <br /> SIGN PERMIT Attwh(2)sets of Engineered Plans: <br /> ""PROPERTY SURVEY regtd ed for all NEW eonsbuction., <br /> DbeGioam <br /> FHt out application completely. <br /> Owner S Contractor skirt ewck of"Ocabon,notarized <br /> If over;=W,a Nobce of Cormnencenentis m**e . (AM Mg arts over$7.00) <br /> J.: <br /> Agent(for ttie contractor)or Powst of Attomey(for the owner)%vuld be someone v6th muTmed letter from an m audt nzmg same <br /> OVER THE COUNTER PERMITTIXG' (Copy.of reMftd) <br /> Reroofs if shingles.. :Sewers Ser Am Upgrades A/C - Fetrces(P cVStevey1Footage) <br /> Driveways-Naf over Countw if ar public roadways_ ROW <br />