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t. <br /> 813-760-0020 City Of Zepl'lyfiills Permit Application FBc-613790A021 <br /> BWkUM Department <br /> Date Recelved Phone cordaetror PemriRttrrg r✓) a- DL <br /> Ownees Name R %� _L 'E' '� Owner Phone Number <br /> l Ownersar s AA 40'6 W(. STG7,M O,r.0-honeNumber` ] 7— <br /> Fee Simple Tt'Wmlder Name. i Owner Phono Number <br /> Fee Simple 7190volder address <br /> JOB ADDRESS / t-R) Z ,2 375f <br /> SUBDIVISION �— PARCEL ID# ©o? oc1 ODdD D3 j� t 45- <br /> (WTA EoFROMMWWNTAXNOTM <br /> WORK PROPOSED e NEw cownt K ADDIALT SIGN [� [� DEMOLISH <br /> INSTALL (J REPAIR. <br /> PROPOSED USE = SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME [—� STEEL <br /> OESCRIPVON OF WORKK # e Eau 7 <br /> BUILDING SME I SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL (S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is -� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION- <br /> MCAS = ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS I —I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISMEo. I Y/N I FEE cumr m Y!N <br /> Address License*t <br /> ELECTRICLW COMPANY <br /> SIGNATURE REGISrEREo I Y/N FEE CURREr )L!N J <br /> Address License#1 <br /> PLUMBER COMPANY <br /> SIGNATURE ((( REGI5iERED - YIN I FEE CUARE�r, '^Yl�N" <br /> Address License## <br /> MECHANICAL <br /> /✓/ie ` � � a�Gt�� 141 f PW <br /> Address eN FEE CURRB Y/N <br /> . t/ n License# <br /> OTHER COMPANY <br /> SSIGNATUREREGISiERm YIN FEE cu(ro"tE� Y!N <br /> Address License#i <br /> ! 11 ! l1III !'1111 /lllll.bll'till.11111111'1IIIIIIIIIIIIIIPl1111111 !!! ! 1'l11 <br /> RESIDENTIAL Adadi'(2)Plot Plans:(2)sets a Burldmg Plans:(1)set of Energy Faros:R-O-W Pere*for new wnsVurtonr ' - <br /> Miinimum ten(10)warldW days after submi{ta{date. Required onsita,Canstntction Plans.Stomiwatar Plats wi Silt Fence instated, <br /> COMMERCIAL AC Facilities <br /> �te�of B nsnpaer�resw Plus ork a L fbr� )Me s Safety Page:{�)set o!Erreryy Forma.R-O-W Permit for new canstrtrction. <br /> Minimum ten(10)wori ft days after suL INA date. Required Croft,Co strlxtiarPtans,Stourwater Plans w!Silt Fence insWied, <br /> Sanitary Facilities a i diarvdw.Site wad;Permit for an new ptojec s.Ali commercial reg wenrents must meet compliance <br /> SIGN PERIOT Attach(2)sr#s'cf Erwreemd Plans. <br /> PROPERTY SURVEY wA&h d for all NEW arrsrudion. <br /> . . . . . . <br /> DKectiorrs: <br /> F8i Oat application cwmPlately. <br /> Owner&Contractor back Of application,notarized <br /> It ow$2500,a Notice of Carninencernerd Is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for fhe owner)would be someone with notalfzed letter from owner au tiwizing same <br /> OVER THE COUNTER PERMITTING . (copy of tom required) <br /> Rereofs if shingles Serters'' Service Upgrades A!C Fences(Plat/Survey/Footage) <br /> Driveways.-Not over Counter if on Public,roadways-needs ROW <br />