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813-780-W20 city of Zephy bills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received permittl 13 -1?l -6013 <br /> I <br /> -F-T-V-T-F- . . . . . . <br /> owmWoees Received Phone <br /> Kd4h la'l—Tr u erf—phone Contact for Owner Phone Number <br /> Ownees'Address V e,+v r i Lipa r K'D r owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6WO Roscu-nitiod 7-Ji 1 '64- LOT# <br /> SUBDIVISION I DP i-R�cod -1 PARCEL ID#16aZORIM150000 OD 0 <br /> (OErrAINED FROM PROPEFIXYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> P INSTALL F� REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Neb Equal A Lt Ohdn06 Q-1VA1 Irf- <br /> BUILDING SIZE i SQ FOOTAGE I I HEIGHT <br /> . .E5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . <br /> UILDING IS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =F-LUMBING Is <br /> C OECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING r7 SPECIALTY = OTHER I q <br /> 1 r� <br /> FINISHED i-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY r <br /> SIGNATUR?- REGISTERED I YIN I FEE CURREN L.XLN_j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREP, L_XLN_j <br /> Addm5s Licenseo F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI% L_XLN_j <br /> Address License#F <br /> F4 M IF-?'MECHANICAL COMPANY --Q=e-&q6 <br /> SIGNATUR.- REGISTEREDI Y/ N I FEE CURREt, I YIN <br /> Address - I W41 41MA Kd at License 4114NOTM re -1 <br /> OTHER COMPANY = <br /> SIGNATURE I REGISTERED I Y/ N FEE CURREK L_XLN J <br /> Addre3s' License <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster*Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Pimp plus a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submftl date.' Required onsite,Construction Plans,Stontwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I clumpMer.�Sffe Work Pgrmft for all new,projects.AJI,00mmercial requirements must meet compliance <br /> SIGN PEWIT Attach(2)sits of Engineared Plans. <br /> —PROPERTY SURVEY requied for all NEW construction. <br /> DI;==;: <br /> Fill ou:application completely. <br /> Owner&Contractor sign bark of application,notarized <br /> It over WOO,a Notice 611`_Comrnencement Is required: (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone wfth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.,, '(copyof oontract'requited) <br /> Reroofs if sningles Sewers <br /> Upgrades A(P. -,, Fences(Plot/Survey/Footage) <br /> .. -- % <br /> Driveways-Not over Counter ifori- Rol�. eo-' <br /> pu c ..n" <br /> ros"r <br /> if. <br />