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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021
<br /> ; Building Department
<br /> R, � � -
<br /> Date Received 1' �O l,6 Phone ContacYfor Permtttln _ -
<br /> Owner'�Name � ('t V 7 �� Owner Phone Number O��—S/ D —v/�/ '
<br /> Owner's Address � � �``�"�/r�l5 f/�1�' Owner•Phone Number
<br /> Fee Simple Tltleholder,Name �d � u�� f��� Owner Phone Number � ,
<br /> ��� �
<br /> Fee Simple Titleholder Addres� '° -
<br /> JOB ADDRESS � LOT# �
<br /> SUBDIVISION ��� i�"'� - PARCELID# -
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED `� NEW CONSTR ADD/ALT Q SIGN Q � Q DEMOtISH
<br /> INSTAtL B' REPAIR
<br /> PROPOSED-USE Q SFR Q COMM� Q OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEL Q.
<br /> DESCRIPTION OF WORK .` R�P"�A C� '��/v�6(iU S
<br /> BUILDING SIZE SQ FOOTAGE C�6 HEIGHT ,
<br /> . QBUILDING $ �:�,=�-•.. �..-- - '
<br /> � =VALUATION'.OF Tbl'AL CONSTRGCTION � ]�] ��/
<br /> � �
<br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $
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<br /> QMECHANICAL $ VALUATION OF MEC �I� I I
<br /> Q�►S ROOFING SPECIALTY i ' •. ■ s C II tI ` • '• • , � I ' , , 'r� I
<br /> 0 0 C
<br /> FINISHED FLOOR ELEVATIONS E���''�T^-----__
<br /> FLOOD ZONE AF F�,_�� _ ,=�,�--`__�.��- „
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<br /> BUILDER COMPANY � �I��I�I�r� ��� � `i - 4 1 ; ' �` t � �
<br /> Y_��-�� ;I.�.,,.,�I �F-- 't�,t'�^"�' �i
<br /> SIGNATURE �� REGISTERED '+^� ``�'r'' ���''� ��`�-`"' _ '��;�
<br /> I��l�i r��t'to' ._1 �' '`_;= LL_ �1 Y`=� ;.1
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<br /> Address -; -`!-;.�r-�=;�;___-': 4, � �_�-f
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<br /> ELECTRICU4N COMPANY �
<br /> SIGNATURE �' REGISTERED � � CE:CiI(IBCI
<br /> ._..._. ���I:�E51G�J F'RE:iSURE(PaF�) I_� ��1i�■O
<br /> Addre�s ' �J� �O■I
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<br /> PLUMBER I:h:•ri43n Pn:::sure limited Uy ter.ted pressures,ASThI E1300 Glass Tablos,and water tes,pressure.
<br /> COMPANY r,�lazin��. <4/4" IU f1/E�,6,N-1/:% GAP-1;8 AN)
<br /> SIGNATURE REGISTERED 1=L-:'39,IJJN IMPACT 13E;iISTAN7. CERT�`15-0519.OE�
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<br /> Address �I�I.2�I72�-• SHsaon 3E�.)C37.375;� ,�3,S1'U,5/8"FL,U1l,E=C21.IAL,IG,CL,Af:G,:;B 70XL,9,
<br /> , Il:ilQ2i2(I1ii15:36.24 GI3G,2ViH'2ViH,AUT0,1816K,SUF'ERSPp.CEF,CIu1FRTLFTH�
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<br /> MECHANICAL :COMPANY ' ��._..-,--.•-•- --..._ ..�_�___.— �-y� _
<br /> SIGNATURE � REGISTERED � II�11!91� ;;If-1541��J � �_.J
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<br /> Address • �II������'�'`'� �3F•15400 �f�_s E:I'f TH�'.OVGM
<br /> ' .. i /�'"• .>�!f='ERSPACE:R NXT �°"'����,ort.<.:50,�,��
<br /> OTHER CORAPANY ' I�''ll����� \/irn�l Frarne
<br /> SIGNIa►TURE - - � ' � = i':aliona Fene.Uafron [)U1S,L GL.,4TED *ARGON (:�A�i *LC}W E *W
<br /> REGISTERED � Refin_CouncilC�
<br /> ' � � - Praduct l�'ype :5ingle Hung
<br /> /iddress _. , - .. , t , , . III��!��iil���� PC:�T'-A-103-003�5-00�0��
<br /> RESIDENTIAL. _ Attach 2:Ploi;:.P,lan§;. � " ' � " ' ` ' _._._ ____ 1=NIEF�;i.�Y PE:I�f=0R�9ANCE Ft��'�IING;S
<br /> ( ) (2)sefs:of�guflding�Rlans;(1)setiof�Energy� - IJ•�Fa'ctor(I.I,S.) 'Solar Heat Gaiin Coi�fficient
<br /> .�.:.Minlmumtten;�(19)�worktng;days;after„"s`utimlEtal:date.�Requlred o'n
<br /> �Sanitary Faci�l(tles°&;1;dumpster��Slte:Work'�P,ermit.for"subdivislon� I� r A q
<br /> �,,-:,_:.,.. ... ,�::-�. _:..,.,�. f r
<br /> COMMERCIAL Attach(3)'complete"�sets'of B�uilding'Plans plus a Llfe Safety Page + �+IC f �`ii
<br /> Mintmum ten(10)working days after submlttal date. Requlred ori, ■ ��� '�U� 'V� i� � �vA�
<br /> Sanitary FacllfUes 8 1 dumpster.Site,Work Permlt for all`new`proJ -�---�-----•- ---•--- - - -------�— ��
<br /> SIGN PERMIT AttacFi"(2)`sets of Englneer,ed:Plans:,,�;z�:��� -,� ��- � - - j ADDI u IC;�NAL P[=F2FOaMANCE FtN"fIN(�S
<br /> ----�-----� ---•-- -- --•— --
<br /> ""PROPERTYSURVEYreguired,for;all_NEW constr,ucUon.. � V'i:sible Tran>nn�itt�nr.e Air linfil�trat:ioir�
<br /> Dlrectlons: _. .� • -. I�� ���!��Y Q��, � I
<br /> FIII out applicaUon complately. � �� '
<br /> Owner&ContracMr sign back-of applfcatlon,notarized , � ���V 'n���■
<br /> If over�2500,a Notice,of Commencement Is requlred. (AIC upgrades over ��� ��� � �� � ������� - -�"--"-"'— '
<br /> s �_;�,;�..,,=_,;,' _ � f1d anufa:ti,rer stipulates that these r.itings conform to app.icable NFRC pn:�cedures for �
<br /> " qqent(for the contractor)or:Powe�of Attoiney(for the'owner)would be someonl d�.termir�irg�vhele proclucl:performance.NFF:C does not recr.�mmf�nd any product and �
<br /> d�:�es n�d. ,varrent the suital_�i�ity of z ry product for any specifi�:use.
<br /> DVER THE COUNTER.PERMITTING�� , Front-of�A Ilcation Onl ' I
<br /> � PP Y� C.orisull Y snufacturer's litc�reiture far other prqduct informatior�. w,�ti,.,nfr�e.or �
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurv „_,_,__.._.�___ _ _,_�____ g
<br /> � �.�c� �.�ca�r !��n�E:;iV� �.��E3�i_ P�!o�� rc� �nss�=i,-�on!
<br /> Drlveways-Not over Counter If on publlc roadways.:needs ROW I, .
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