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City of Zephyrriffis Permit Application Fax 813-780-0021 Building'Department Date Received Phone Contact for Permitting aek()H-M, CUM I Vt I I A I I I I I A A Owner's Name Owner Phone Number Owner's Address Owner Phone Number -Fee Simple Titleholder Name IS-n V\rLp— Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS SM &A,3t Wt 2f_pjz,el L,G vi 33,S-41 LOT# IJOBI-414 SUBDIVISION PARCEL ID# 6040-014 o o ^c)J Q 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH E� INSTALL REPAIR PROPOSED USE = . SFR 'COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK &JM RS,j i eA 3 a�n -sj� BUILDING SIZE ISQ J FOOTAGE F213 HEIGHT BUILDING 0o VALUATION OF TOTAL CONSTRUCTION [Z�ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. F7�PLUMBING 1 T—I, f,a)0 1:21MECHANICAL $ &,DOd VALUATION OF MECHANICAL INSTALLATION =GAS Ey ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I ' ' —7 FLOOD ZONE AREA =YES NO C,70' BUILDER COMPANY Irk SIGNATURE REGISTERED Y/ N FEft CURREN Y/N Address C1 I- T-4 w 7 License# �Cs CCU ,sat) :z ELECTRICIAN COMPANY C�Q Eler4l-1 SIGNATURE REGISTERED Y/ N FEE-CORREN I T/N Address IM00 lhwi PkWur License# I EC_ ': , 0 0-11 IS- PLUMBER > COMPANY uk- lmnn pluob;n 6 SIGNATURE F C ) REGISTERED Y1 N 'FEE CURRitl\ YIN . ---- ------ Address 6, Rmr PZ G1 2- License# 1C, E MECHANICAL COMPANY WIL A-IV, SIGNATURE REGISTERED FEE CURREN _t'j/N__J I 5-q 0 C� WeW T(A p.6 Address _1, License# 1 CV " C�33 OTHER u COMPANY MA mc_D�18 2064t-1- SIGNATURE REGISTERED Y/ N FEFCURREI\ 'I Y/N_JJ Address -sf, fs&j 39f License# [a :1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(,'i)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans, Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page-,(1)set of Energy Forms.R-O-W Permit for new constrqcflon.. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumoster,Site Work Permit for all new projects.All commercial requirem' ents must-meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power 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 Service Upgrades A/C Fences(PlotfSurvey]Footage'),,:-,, Driveways-Not over Counter if on public roadways..needs ROW