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i <br /> o��-rau-uu�v t;ity of ZephyrhiNs Permit Application Fax 813-7$0-Od21 <br /> Bufiding Department <br /> Date Recelved ...- 7r"� � �,,3 �.- –�7 { <br /> � Phone Conta�t for Rermitting <br /> Owner's Name �Sid�L cr�rt�'✓ � Owner Phone Number <br /> ��-�1 { <br /> Owner's Address /.3�.�/?'1�e�".��� ��iFl y lliL�.�'"r[t�.. Owner Phone Number <br /> Fee Simpta Tittehoider Name �i �i � Owner Phona Number C�` <br /> I <br /> Fee Simple Titiehoider Address � <br /> J4B AUdRESS L�od sT a�ukc c',kiv.s �i�jil � 1�/� T`.Lt'J � LQT# � <br /> —� I <br /> suaa�visioN �'Z",f����rr'�t'���, f16�1�I I �aacE�.i�e Q�--�1'0-�l-�C7 - - <br /> �����.�-��e.a,�,� (OBTAINEDFR4MPROPERTYTAXH0710E) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT � SIGN �] [� DEMOLISH <br /> INSTALL REPAIR <br /> PRQPOSEQ USE [�] SFR � COMM � t?THER <br /> TYPE OF CONSTRUC170N BLOCK FRAME C,] STEEL Q <br /> DE3CRIPTION OF WORK ?�sT..ff i��'+a� ��' �(�,�s�� ��`-�''.11J�i�6�t8'4tG�LC��:�._GTR�� <br /> BUILDING SIZE � � SQ FOOTAGE�� HEIGHT �,_—� <br /> i <br /> QBUILDtNG $ �.Z�,°z�a(� `�(uAIUATIONOFTOTALGQNS7RUC710N <br /> Jv� � <br /> QELECTRiCAL r$ � RMP SERViC i [� PROGRESS ENERGY C] W.R.E.C. <br /> �, <br /> [�PLttMSlNG ($i � � C,i Gc L>s(!`!tir <br /> � ► <br /> QMECNANICAI �� VA�UATIQMl�F MECHANICAL iNSTALLATtON <br /> QGAS C] FtOQFING Q SPECIAI.TY 0 OTHER <br /> FiNISNED FLOOR ELEVAT�ONS FLQOD ZONE AREA [�YES NO <br /> � � <br /> BUILDER COMPANY <br /> SIG�tATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address � tfcense# �y � <br /> ,_, ,„__. i <br /> EGECTI21CtARt COMPANY <br /> SIGNATUF2E REGISTERED Y/ N FEE GURREt+ Y/N <br /> i <br /> Address � l.lcense# �� � <br /> I <br /> P�UMBER � � COMPANY <br /> SIGNATURE REGt8TERED Y/ N FEE CURRE� Y/N <br /> E <br /> Address License# �— `� <br /> i � <br /> f <br /> MECHANIGAL COMPANY <br /> SlGNATURE REGtSTERED Y I N FEE CURRE� Y/N <br /> Address I License# �—` � <br /> OTHER �� � � COMIP/WY t��'��3 gI(•�?�i LZ�ME�t�tiG'��NG. <br /> SIGNATURE R�cis�REO Y! N FEE CURRE� Y/N <br /> �dress � Lt�A IC•S7: �'6 Ny�lit,tS 33S d Llcense# �5�aC70/!O '� <br /> REStDENI'IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of�Energy Farms;R-O-W Pennit far new canstructian, _ <br /> Minimum ten{10)working_days after subm(ttaLdate. Requlred-onsl#e;-Canstn�ction Plarrs,Stormwater Ptans'w/"Siit�ence'instatled, � <br /> � � " Sanitarjr FaciifUes&.1 dumpster;S(te Work Pemtit for suddivislans/large proJects <br /> CdMMERCIAL Attach{3)complate sets af BuAding Plans plus a Lffe Safety Page;(1)set of Energy Fomts.R-O-W Permit for new canstruction. <br /> Minimum ten{10)working days after submlttal date. Requfred a�sfte,Cons#ructian Pians,Stormwater Pians wJ Siit Fence installed, <br /> Sanitary FacillUes 8�7 dumpster.Site Work Permit for all�ew projacts.Ait cammercia!requirements must meet campiiance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans. I <br /> ""'PROPERTY SURVEY required far aA NEW constniction. <br /> Directions: C , i, i <br /> Fill out apptication completely. ' i <br /> Owner 8 Contractar sign back of appiicatfan,nota�ized i <br /> If over S25Q0,a Notice of Commencement is required. (A!C apgradas aver y7500) <br /> " Agent(far the conUactor)or Power of Attomey(for the owner)would be someone wi#h notarized letter firorn owner autttarizing same <br /> DVER TFlE C4UNTER PERMI'fTING {Front af Appifcation Onty} <br /> � Reroofs if sh�ngles Sewers Service Upgrades A/C Fences(PIoUSurveyiFootage} <br /> Driveways-Not aver Counter if on pubiic roadways..needs ROW � -- "` " ""-�,' <br /> ' .. . ._.. � ' - , � , . ' , ' . '` <br /> .f <br /> , , � . � , , ,` , ` <br /> ._. , ,. . , . . , � • ' i <br /> . � �� �-. . ' _ � .:. z ' <br /> , _. . . `_ <br />