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813 - 780.0020 City of Zephyhlis Permit <br /> ic Applation Fax - 813-780-0021 <br /> BuNcIng Department <br /> Datr! Received 1 – 1 -/ I Phone Contact for Permitting Fr ell 1 r U I I '' 1 Q ' ' g <br /> Owner MAC, Name A , - cl , t 1c, 1 Owner Phone Numb 'S 13'. V A 1 ( .:6 1 - , , <br /> r4r 1 t.- c c��r�e.�- r.. Owner Ph an Number 13 I <br /> owns : Adth.ae � �.y �_ , . � �• r 1 � ' ��751 S <br /> ``' Fee straw• Titleholder Name N <br /> Owner Phone Number 1 <br /> Fee Simple Titleholder Address I .___ <br /> JOB ADDRESS 13 < 634 Lb-tUr .(LA v f `J y ! / \ LOT* I L 1 <br /> SUBDIVISION 1 v 1 (l�C_�\ 1 C. C cS PARCEL 00 1041.–I 0 ' Z C W L L l t I ' t > ' 0 b i - l> 1 <br /> 000 IOSTAaEO Mo. PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT n SIGN MOVE Q DEMOLISH <br /> INSTALL 1— Q REPAIR <br /> PROPOSED USE 1=1/SFR r--- COMM n OTHER i I <br /> TYPE OF CONSTRUCTION n BLOCK r FRAME n STEEL ra-- OTHER <br /> DESCRIPTION OF WORK 1 'It._clown (y L M� e I <br /> BUILDING SIZE 1 ,y , X / 1 1 SG FOOTAGE I 5 `S– - I HEIGHT I <br /> Vie BUILDING <br /> I $ <br /> CC() 1 VALUATION OF TOTAL CONSTRUCTION <br /> I `r ELECTRICAL 1$ V I AMP SERVICE PROGRESS ENERGY r7 W.R.E.C. <br /> r PLUMBING ($ I <br /> I MECHANICAL 1S ■ I VALUATION OF MECHANICAL INSTALLATION <br /> I1 GAS n ROOFING r SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA 11YES j ✓ N p <br /> I COMPAN Fwi�+' D .) r Ot <br /> BUILDER . > ," <br /> SIGNATURE ���� <br /> Address WITAIL l►� I G /iMI ° ! WAIN FEE EMI <br /> /'� I1FIi 1 <br /> SIGNATURE RUN :� COMPANY ( �^' �lU� u l t� <br /> SIGNATURE R�sTERF N FEE CURRENT N <br /> r i <br /> Address . = M `– II� J LS License* I p • C. - WI Z / b <br /> PLUMB PLUMBER / COMPANY 1 F �Q i wtQ c �C <br /> S RE REGISTERED N <br /> �] �1 CURRENT / N <br /> Address �i O !S11 + License # 1 i t 1 ° VI FEE CURRENT 0 <br /> MECHANICAL / i : f,j(7._, COMPANY I balk PIC-- <br /> SIGNATURE . <br /> Ads mracIr Bart ��I�i 'i lC� � L.t e>* r ifil a <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N <br /> I FEE CURRENT / N <br /> Address I I License* 1 I <br /> RESIDENTIAL. (2) Plot Plans; (2) sets of B s; Building Plans: (1) set of Energy Form R-O-W Permit for new , e <br /> Midnium (10) working days after snbnitat data Required anada, Conwbuctn Plans, Steamroler Plana w/ SR Fence installed, <br /> Sanitary FacNtles & 1 dumpster: Site Work Permit for projects <br /> COMMERCIAL (3) complete sets of Building Plana phis a Lie Safety Page: (1) set of Energy Forms. R-O-W Permit for new construction. <br /> ( ) worldng days afar submittal date. Required oneite, Conetrudion Plans, Siormwwatar Plans w/ Sit Fence Imo. <br /> SIGN PERMIT A tach (2Facilities a Engineered PIM& <br /> P aretic for at new projects. At commercial requirements must meet compliance <br /> ""PROPERTY SURVEY required for at NEW construction. <br /> Directions: <br /> FM out application completely. <br /> Owner & Cohdu.t a sign bad( of appricayon, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> J OVER THE COUNTER PERMITTING (Front of Appti Only) <br /> _ Rereads Sewers Service Driveways -Not Counter if Upgrades A/C Fenoes(Plo (Plot/Survey/Footage) <br /> pubic raadaiays..needs ROW <br />