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813-780-002D City of Zophoills Permit Application Fax-813-78M21 <br /> Building Department <br /> IFCT3 aData Received Phone Confadfor Pen itti - <br /> owner Name cr,*left 'cj'a L-7 I ' a 2 ' " a a 4 0 ' —i & Pori 1'319 <br /> OwneftAdIftesslEM56 Lilly q-,4ve--., owner Phone Number <br /> Fee Simple Titleholder Mum Ovam Phone Numb" <br /> Fee Simple Titleholder Address jj <br /> JOB ADDRESS '8ca--AVL LOT# <br /> SUBDWISION tira ri7�71 nd ffoPAMELWR4���-I- 0110-CO000-a(V20 <br /> (010110185 FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED wNsng/ ADDIALT sSIGNDEMOLISH <br /> R NEW INSTALL REPAIR <br /> PROPOSED USE r­1 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION ' r7 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 120-, jr::7't 1 1 Ae AJ0,Cb"06V-+, &QQAQ2r--r71- SToWN <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> EBUILDING. . . . .. .1$ VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =rLUM13ING S <br /> E1MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> r-70AS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wil . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE . I I REGISTERED I YIN FEE CURREN LY l N <br /> Address E— I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURREN L:Y-�—N <br /> Address License# <br /> !PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK LY/N <br /> Address License# <br /> MECHANICAL COMPANY r8ahrb ff0Q!QL <br /> SIGNATURE REGISTERED I Y/N I FEE CURRa I YIN <br /> Address J_LHL/1 Allen J�ed -717-j S.F(-] License 0JW'0 43q(M' <br /> OTHER COMPANY F <br /> SIGNATURE F REGISTERED I Y/ N FEECURREK I Y/N I <br /> Address License# <br /> IIIIIItlllltllltllllllllllllllllllllltlllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bdkft Plans;(1)set of Energy Forms;R-O-W Permit for new consbuction, <br /> Minimum ten(10)worIft days after submittal date.'Required onsite,Construction Plans,Storruwater Plans Yd Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site We*Permit for subdivisionsliarge Projects <br /> COMMERCIAL Attach(2)complete sets of Eluildl nq Plans plus a Lift Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(110)working days after wAxnW data.ReWmd onsits,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now piviects.AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered plans. <br /> *PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner:=.a=19n notarized <br /> ifover cc,olCommencemerd is requited.,(A/C upgrades over$7=) <br /> Agent(for the contractor)or Pow of Attorney(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER Mrfihq. (copy of oDnbBd required) <br /> Raroola if shingles Service Upgrades Afr- Fences(Plolf-Suivey/Footage) <br /> DrIvewa"ot over Counter it an public roadways-needs ROW <br />