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��a-7$°-°02° City of Zephyrhilis Permit Application rax-rs r,�-rnv-Uv�� <br /> Buiiding department <br /> � „ 'c <br /> Date Receive� r a �j� 1 Phone Contact for Permitting "�(� � � __ ��j ��� <br /> Owner's Name �D2"tT� �t A,9 `t''� -�- LL.I.. Owner Fhone Number <br /> � <br /> Owner's Address� Vb C� � IC��� �I C� t.� ��'►� Owner Phone Number� �V� <br /> Fee 5imple Tif+teholder Name Owner Phone Number�^ � <br /> ! <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS tt/`'�1 e�� t"�.Gu l G�A� �„J[�'t.C7 ��'WC .LOT# � ' ^.� <br /> su�ao�v�s�oN' �—�.�..—�`� RARCEI.ID# fj2--ZL��Z� �U°2'�i?� '"C�c�c�o��- UO 7t1 <br /> i (OHTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEp NEW CONSTR ADp/AL7 � SIGN � MOVE Q DEMOL(SH � <br /> � � �NSTALL REPAIR <br /> PRt}POSED t1SE � SFR � CQMM � ' 07HEEt <br /> TYPE OF CONSTRUCTION �] BLOCK 0 FRAME � S7EEL [�] OTHER <br /> I <br /> DESCRtPTiON�OF WORK �ta.l 1 �!� . �+i�-• t N1 d�i rtt �,��:�, . �S-' ` <br /> ^ — �� <br /> BUILDlNG SIZE '�!'�`!C �V(� � SQ FOOTAGE���..._� HEIGHT 1 V_��_� <br /> BUiLDWG � u <br /> VAL.UATION OF TOTAL CONSTRUCTIQN <br /> ; ._�.�o�� �� <br /> [1`i �ELECTRICAL $ `��Q v' AMP SEFZViCE PRC}GRESS ENERGY Q W.R.E.G. <br /> [� PLUMB�}UG $ "� ( � 7�!�F3'�L7M� � i <br /> I <br /> � MECHANiCAL $ � y� j� VALUATION OF MECHANICAL INSTALIATION t-v,,, f(G'./��� <br /> I �,.7 � �r �/"'� V U <br /> � GAS I 0 ROOEING � SPEClALTY � ' OTHER <br /> FINISHED FLOOR E�EVATIONS FLOOD ZOhIE AREA �YES ONO <br /> BUILDEF2 ��1,��� CdMPANY �`JM�"'' ��"'������ � �� <br /> SIGNATUR ��� REGISTERED Y N FEE CURRENT Y N <br /> Address I.'3 ��. S �.e?eS'� �C¢>� t License# ��j� M �'�{�'�a� <br /> ELECTRICIAN I ' � �\,}' COMPANY 1'"l a�-�t`� G.`C,�C"l��C`� <br /> SlGNATURE , t REGISTERED N FEE CURRENT N <br /> I <br /> Address ( �Q �OX�� ���C�" �2, 33��'�' License# ��i �3(70(.�{�� <br /> PLUMBER �� COMPANY <br /> SIGNATURE �I REGISTERED Y I N FEE CURRENT Y 1�) <br /> i <br /> Address License# <br /> I <br /> MECHANtCAL; GdMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURftENT Y/N , <br /> Address � L(cense# �- r � <br /> i <br /> OTHER � COMPANY " � <br /> SIGNATURE REGISTEREQ Y/ N FEE GUftREN7 Y/N � <br /> Address License# �� !� <br /> RE3IDENTfAL Attach(2}Plot Pians;(2)sets af Building Plans;(1)set of Energy Farms;R-O-W Permit for new constructlon, _ <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucHan Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanikary Facititi�s&1 dumpster,Site Wark Permit far subdlvisians/largs pra}ects - <br /> GOMMERCiAL Aftach(3}sefs of 8uilding Plans;(1}set of Energy Forms.R-O-W Permit far new construcklon. <br /> Minimum#en(10}working days afiter submittel date. Required ansite,Constructian Plans,Skor€nwater Plans w!SilfFence installed; , <br /> � Sanitary Facilities&1 dumpster.Slte Work Permtt for aU pew pro)ects.Ali commerciai requlrements must meek comp{lance <br /> SIGN PERMIT; Attach(2}sets of Engineered Plans. <br /> � '**"PROPERTY SURVEY required for all NEW consfruction. <br /> Directions: <br /> Fill ouk aptplicafion complefety. <br /> Owner&Contract6r sign back of applieation,notarized <br /> If over$25U0,a Natice of Commencement is required. {A/C upgrades over$500d) <br /> *' Agenf(forifhe cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same , <br /> 'OVER 7HE COUNTER PERMI7TING�"` (F'ronE�af Applicaf(on Only) � , , <br /> Reroofs ; Sewers � ' "ServiceUpgrades�, A/C Fences(P(ot/Survey/Foofage},,, � � ' � � <br /> D�tveways-Not over Gounter tf on publiaroadways..needs ROW � � ' �`, � <br />