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<br />813-780-0020 <br /> <br />City of Zepnyrnllls t'ermlll-\jJjJllvQUVII <br />Building Department <br /> <br />~A( eN <br /> <br /> <br />Owner Phone Number <br />Owner Phone Number I ~'"3 - ~'3'ls' - o/~1 <br />r 'i' \ 3 _171.'1 - \ q q C <br />Owner Phone Number l <br /> <br />Owner's Name <br /> <br />Owner's Address I b ~ l\ l\ <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />-o~ <br /> <br />Date Received <br /> <br />II t'- <br /> <br />S,(l...c.E.T <br /> <br />Fee Slmpl. Tlll.hold" Add"",' [ <br /> <br />I <br />I <br /> <br />:rN~\A\.LI.v~ iO\ b ,~I S\-\€t) "STEEL" AlJo~o~~~ w,~.... ~L.cc.TR'c.. <br />DESCRIPTION OF WORK <br />BUILDING SIZE I \ 0 '\" \ ~ ' Isa FOOTAGE l I yo ',<- (+ I HEIGHT! I 0 ' I <br /> <br />,........;.....................,.............................................................................................,.................... <br /> <br />o BUILDING 1$ a '-\00 .()C, I VALUATION OF TOTAL CONSTRUCTION <br /> <br />O A 1$ I AMP SERVICE .---, PROGRESS ENERGY <br />ELECTRIC L 7. ~ IOU oil" L--I <br />, '4?OD <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />o GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111" t '1'1"': ';:: I' ~II""" I'" '1"""" .1.1'..'.1' '1'1"":'" '; S'Z: '5~'I'I'I""'" '1" '1'1' .,. ~.~.~'~~,..., 1'1 t 1'1' '1'1' III' '1'1' I' Ii <br /> <br />BUILDER Ljot.,.J[ 0 t"JO,){.r <br />SIGNATURE rl.... FEE CURRENT <br /> <br />E3 <br />o <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />LOT # I 2 7 <br /> <br />02- Z(p_U-DI6o - O()fXX)- 02- 70 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />b\'-{u" \i-\-' <br /> <br />~\(2..f.:E--r <br /> <br />PARCEL ID#I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />8 <br />D <br />D <br /> <br />o <br />o <br />o <br /> <br />OTHER ISH ~ C <br />STEEL 0 OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />Address <br /> <br /> <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />License # <br /> <br />\{cM.~ OVNc(L <br />I Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGt.jATURE <br /> <br />License # <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Address <br /> <br />License # <br /> <br />Address <br /> <br />Address I License # I I <br />1I1I111111111I1 I11111111I1111111111111111111111111111111111111111111111111111111;1111111111111111111111111111111111111111111I11111111111111111111 <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 w/ Silt Fence installed. <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL Attach (3) 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 w/ Slit Fence installed. <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11.1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111I1111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br />