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813-780-0020 City of Zephyrhilis Permit Application FaX-s�s-780-0021
<br /> Suiiding Depactment -
<br /> ,--:-r�
<br /> Date Reaeived J� �-7�� (� Phane�Cantacfifor:Permtttin .
<br /> 7 Owner's Name '•f r���GS 1" ��-'�� Owner Phone Number �O`�`���"t"' $/�
<br /> �Owner's Address 3� Cn o 1 rGl 'e, "f' J C91� a C Owner Phone Number � �
<br /> Fee Simple Titleholder Name � , � Owner Phone Number
<br /> Fee Simple Titleholder Addresa "
<br /> �JOB ADDRESS � �'�11 G ��� LOT# ��,�
<br /> SUBDiViSION - �� � P.ARCEL ID#
<br /> , (OBTi91NEDF.ROMPROPERTXTAXNOTICE)
<br /> WORK PROPOSED • NEW CONSTR ADDlA1.T � S1GN` Q Q DEMOLISH
<br /> ���. INSTALL � REPAIR ° �
<br /> ARQPOSED>1.lSE Q SFR. [7� �COMIUi 0 OTF{ER
<br /> TYPE OF CONSTRUCTION Q 'BLOCK ' Q FRAME �_ STEEL Q
<br /> DESCRIpT10N OF WORK � j '�� ���-1 . �� r�t/ ����'1 ,
<br /> BUtLDiNG SIZE J� � 1� fo C��' SQ'FOOTAGE�; , HEIGHT��C„_`�_�
<br /> �8���'����' � �f�-� VALUATIOiV'C1F�T01'A�COi�tSTRUCI'IOM1i �
<br /> �J
<br /> r� [�E�ECTRtGAl. ���, J��; AMP SERVICE . �Q 'PROGRESS ENERGY Q W.R.E.C.
<br /> 6
<br /> QPLUMBING �__ �
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<br /> QMECHANICAI �� YALt)ATIQN OF;MECNANICAt,tNS'fR�.Li4TtC?N
<br /> i QGP�B Q ROQFING Q 3PECIALTY � • OTliER
<br /> .FINISHED FLQOR ELEVATIONS �_,,,,,,,, � FLOOD ZONE AREA C]YES
<br /> ,NQ
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<br /> �� BUt�DER � COMF'ANY� � '
<br /> ' SIGNATURE REGISTERED Y/ N , � FEE CURRE� Y/N
<br /> �
<br /> � Address � , • Llcense# � �
<br /> �' °�/ 1�.�es ��L-i L}
<br /> � r��ECTRICIIW= � r* .�'COMPAt�lY��.' ��}
<br /> '�, SrfGNATURE � REGISTERED Y/ N FEe curt�e�• ` ''Y/N
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<br /> � Address ' ' License�# '{ , . �
<br /> � � �
<br /> � PLUMBER CBMRANY . , _ .
<br /> I SIGNATURE' , ReG�51`ERE�. Y./�`N,. :: .FEE CURREN ' Y�/N.`.
<br /> Addre�s � License# �- � ���
<br /> MECHANICAI: COMPANY.
<br /> SIGNATURE '" '� REGISTERED Y/.N _., FEE CURRE� X/:•N
<br /> Address ' ' , . , , - . . License# � �
<br /> t?Ti�iER " ,. ' ' ,`;COMPANIt
<br /> SIGNATURE �, ' � � -" ' REGI57ERED` " Y/ N:. FEE CURRE� Y/N
<br /> I Addrau� _ � ° ticense# �� � �
<br /> i . . . _ . , ._ ,.: . ,. . �
<br /> RESIDEN'i'lAt;'; -:At#acti't2}..Ptot Plans;:(2}sets.of Bu�Iding�Plans;(�}sef af-Etiergp>Farms�R-0�V1t Peimit for eew constnrction, ,
<br /> , . . .. ,
<br /> �:Minimum,ten,(4,.0);wortcing;days�after,:submlttal`date::Requlred onsite;.ConsUucBbn�Flans;Stortnwate�"Plans w/SflfFence installed,
<br /> J" ���Sanifary Facilides:r&r;1,;dumpste_r,,Site-Work�Permit for:subdiVistonsllarge.pmjects ._, � `
<br /> COiVlM�RClkl. Attach{3)ci�mptete'sets af Bu3tdtng Plan's ptus a l.ife Safety Page;(1}set of Energy Fcrtns,R{3-W PermSt hsr new canstnsctlon.
<br /> Mtnimum ten(10)working days'after submittal date. Requl�ed onsite,ConstrucUon Plans,StortnwaterPlans w/Sflt Fence fnstalled,
<br /> , Sanitary Facllides 8�1 dumpster.Site Work Permit tor all new.proJects:All commerclal,requlrements.must meet compltance
<br /> SlGN PERMIT Attact�"{2)"sets of"Engineer,ed.;Flarss...: � � - , �� . ` •
<br /> ••••PROPERTY SUR1/EY regulred'for a.11 NEW canstrucUan.
<br /> Direatlons: . , . � . _
<br /> Fill out applicadon campletely.
<br /> Owner&Cantractor stgn back of applica8on,notarized
<br /> if over a2S00,a TlotCce of Commencement is required, (AlC upgrades over;67500j
<br /> '" Agent(for the contractor)'or Power of Attamey'(far ttie�owner)would be someone with notarized letter fram owner autha�izing same
<br /> OVER THE COUN'iER.PERMiTLiNt3 ---(Frant af Applicadan Oniy) �
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Drivewaya-Not over Counter if on pubiic roadwajis..needs ROW �
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