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a�a-zsaaozo Gity o#ZephyrhilSs Permi#Agptication �a:-s�a-zaaoazl <br /> Buildin9 De�artment <br /> Date Rewived <br /> �Phone Contact tor Permittin - <br /> T7-i-l-t`Ti-i' '7T1"-rTT'r e-t-e-r�'[-r-t'T.'�.�r_rTT_t_�� .�r - <br /> Owner's Name ��C�7� �4 ���_—�I �� :+�J'� .. <br /> Owner Phono NumbOr <br /> 5g�5 & va 5vrl��ao f I <br /> Clwnar's Address Qwner Phone Number � <br /> F¢e Simplo Titleholtler Name I W� Owner Phone Number � � <br /> I <br /> Fae Simpie Tifiehoidet Address � <br /> � JOB ADDRESS ?'f4(p G,4LL B LVp '��P�`�l��L,S FL. �'3-rje}j �QT# � <br /> � SUBDIVISION �—� PARCELIDN ���'�,���`�"(-CJU/"�J� <br /> IWORKPRQPOSED � NfWCONSiR� ADDJA47 � S��ryeDF�pROPERnT�TC�DEM01.15H ' <br /> INSTAIt REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAM@ � STEEL Q <br /> 6ESCRIPflON OF WpRK a aRAt� AbD i�p�i- It1'T�RIdR��JC�(ERIoR F/+sCAD� �1U�V,4'T1orJ, <br /> BUILDING SI2E C—�SQ FOOTAGE 2��� HEIGH7 +,'�u <br /> �BUILDING� 5 Q� •' VALUATIONOFTD7ALCONSTRUCTION <br /> ,1 <br /> �ELECTRICRL $ry��aa.• At�PSERViCE Q PROGRESSENERGY Q W.R.E.C. <br /> "� �jS�►t�t'�.,7 <br /> �,PLUMBING $ � . <br /> �MECHANICAI $ (� Q�,a�• VALUA7I6NOP ECHANICALItdS7ALlATtON <br /> I <br /> QGAS � ROOPING � SPECIALTY�] OTNER <br /> FtNISHED FC40R EIEVAZI4NS ��3,.y�/ FLQOO ZO i ARBA QYES N4� <br /> � <br /> BUiLDER COMP i �'��Y\tI�N GRi�/lg "r�n'� �,� �!t�W. � <br /> SIGNATURE ReBisr�o Y 1 N F��CUw�n Y/N ��� " �---� <br /> _......... � <br /> naaros� ...... -h`.,' ^ '��' 'tG� ��censex G�Sc t�'�s�t�t�"t� <br /> ELECTRICIAN COMPAt7Y �L. �I lL � �i �s� <br /> SIGNATU{2E REGISTF.�EO Y I N FEE CuRRE Y I N <br /> II Adaroas ( lficense# �G�3PX35b73 ,� <br /> PLUMBER if �. J,M�`° � CpMP� �m `�1� P��M���'4S SG({I�L�j � <br /> SIGNATUR£ �""� � REG�STERED Y i N FEE CURREA Y I N <br /> ...� .....�_ <br /> � �d���s ���,5g� ��F'��s"rQ I 3 7 <br /> �� �—�,, I �! . � <br /> , MfCNANiCA� ' j!S��� C4MPANY it '�i"� �G. <br /> { SiGNATURE t REG�sTEaeo Y/N cEE cvaaEn Y t N 1 <br /> I � n <br /> Address I License q�)D!�� � <br /> OTHER � I ���� Y' /N FEE cUaREr. Y/N � <br /> SIGNATURE <br /> aaareas � ��„$8#� � <br /> �i���������e���i��t����E��i����{ti�if��c��i� t���itt��i����i�������� <br /> RESIDENTIAL Att2ch(2)Pbt Plans;(2)se4s of Building Plare;(7)set of Energy Fortns;R-0-W Permit tor new mnsWCtion, <br /> Minimom!en(10)working days after submitlai date.RequirEd onsita,ConsVUation Plans,Stormwater Plans w/S7t Fence installetl. <br /> SaniWry Fadtities&1 dumpster,Site Work Pennittorsubdi�isions/large pro}ects <br /> COMMERCIAt Attach{3j cornpteie sets af BuBd"mg Ptans pius a ti(e SafefylPage:t1}set of Enetgy Fo�ms.R-0-W Permit iw new cansWcrion. <br /> Mintmum ten('10j woricing days aHer submittai date.Required onsite,ConsWCUon Plans,Sto(mwa[e�Plans w!Stlt Fence installed, <br /> Sanitary Faalitiss 8 1 dumpster.Site Work Permit for all ne�proj0CL5.All commerdal requirements must meet compliance <br /> SIGN PERMIT AttacFi(2)sels of Engineered Plans. <br /> ""PR6PERTY SURVEY reqvieed for atl NEW consWCtion <br /> ,..,_...,_,................ ............... .. <br /> Oirediona: <br /> FII out aDP��mdon COmpletNy. <br /> Owner 8 Contradorsign back of appliration,notacaed <br /> H ovqr 525U0,a Nodce af Commencement is requtred. (A+C upgmdes ovet 5T55fl0) <br /> " Agent(frn ihe cantractor}or Ppwer ot Attontey((or the owner}wouid be so�eone with notarizal letter fram owner autborizing same <br /> OVER TNE COUNTBR PERMITfING (Front of Applicatian Only) <br /> Refoofs it 5t�ingles Sewers Service tlpgrades NC Fences(Plo SurveylPooiags) <br /> Odveways-Notover Countet H On pubiic rpadways,.needs ROW <br /> i <br />