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813- 780 -0020 City of Zeph Permit Application ry ,
<br /> I an - v,I. �.vx-vxr.'
<br /> Building Department 101 i
<br /> Date Received Phone C ontact for Permittin
<br /> C7 t-7 ��'L / rte u/` caner Phone Number r /
<br /> Owner's game 4/ Z d 4P/4 /7 ` s 3q
<br /> 4 h 6 x / / Z '` , / - F/ °'' ` Owner Phone Number C !
<br /> Owner's Address 1 � c , CJ /
<br /> I Owner Phone Number T l
<br /> Fee Simple Titleholder Namel
<br /> Fee Simple Titleholder Address 1 /
<br /> ,
<br /> S rP / / r //6 A/ CY / ,/ , I LOT #
<br /> JOB ADDRESS 1 L�
<br /> 1 PARCELID #I 6 ` ,,, 1' `- /" p e , -04�e0 - aega01
<br /> SUBDIVISION 1 (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN MOVE I DEMOLISH.
<br /> I I INSTALL REPAIR
<br /> PROPOSED USE I I SFR ® COMM 1 1 OTHER I $
<br /> TYPE OF CONSTRUCTION Ea BLOCK I FRAME 1 I STEEL n OTHER I I
<br /> DESCRIPTION OF WORK (- 1 r g. h e I- t ,9 ( ' ' A/ Y
<br /> BUILDING SIZE SQ FOOTAGE 1 / y 0 I HEIGHT I I
<br /> BUILDING $ / 9/ / t) 7 '. VALUATION OF TOTAL CONSTRUCTION
<br /> I ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C.
<br /> I $ PLUMBING $
<br /> MECHANICAL $ m o VALUATION OF MECHANICAL INSTALLATION
<br /> I $ GAS I$ ROOFING 1 1 SPECIALTY I I OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I $YES 1 INO
<br /> BUILDER /7 - % ` COMPANY ` f d J/ 4 , •~ -- 0, a,,,r/`. c
<br /> SIGNATURE �` REGISTERED I Y/ N I FEE CURRENT
<br /> � I Y/ N I
<br /> Address / s1,. 0 / /C� ,% 7 /� (t/ 7 7 � . ` / //l' .t\ st_(" - l.� ,/ License # L'G © S`2'S`/ F ,l
<br /> r ELECTRICIAN • COMPANY �� S C CrL9 `/ C C /f L
<br /> SIGNATURE ">' ✓ REGISTERED 1 ' / N 1 FEE CURRENT I Y / N I
<br /> • •app
<br /> Address (� J License #
<br /> n
<br /> PLUMBER , / //.,.. t COMPANY SP/ -64 / ir!`.- Pi-(A ( b:/(J�
<br /> ; j A ,
<br /> SIGNATURE 7 `7 ' ) ` 4 r ; / REGISTERED Y / N I FEE CURRENT Y / N
<br /> Address '5 7,2-) 64-11 )3 E. _R i6 FI, k-( f2 License# C Pr t� l N. D /�
<br /> MECHANICAL c f 1 , � COMPANY 0 6,c� rciz r1:::2 -' 1T - �"'G.
<br /> SIGNATURE (/ /� S REGISTERED �jI FEE CURRENT Y/ N
<br /> Address g J' /p rc h (o ,• o(' /J R6 � -tt , L 1(' License # r c� Q —2_
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
<br /> Address 1 License #
<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) complete sets of Building Plans plus a Life Safety Page; (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 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 /> Directions:
<br /> Fill out application completely.
<br /> Owner & Contractor sign back of application, notarized
<br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000)
<br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs Sewers r��r1 ervice Upgrades NC Fences (PIot/Survey /Footage)
<br /> Driveways -Not over Co t iroT3diktgA1t.nee•s - a�,,"
<br /> fltl Ip nit? . movi vim« ' { / :w ; %% . !MTh /DAMAO 4 AJIM , . , ;ir ,, ,
<br /> 11'0$ , r eams t 5,1 -I max:: WA I, + sbnoi! to ?lit$ ait VOA 7 r
<br /> AIWA Ittf tit! 00 N no,ax+mato3 .. !" i Eta 1 M; Z91•4013 aMM3 OW ' �
<br /> sesA t
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