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813-7�aooao Ci of Ze h rhills Permit A IICa�lOt1 Fax-813aeaoox� � ��
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<br /> i Buitding Department
<br /> ii Date Rec�tved � ° Phone�Co»tac#for Pernitttin -d ��.+ — ��
<br /> Owner's Name v'T�! Owner Phone Nurnber � � ' ��� �� .
<br /> Owner's Address � /��7 � Li.' �Z ��� � Owner Ph'one Number� � � '
<br /> Fee Slmple Tltleholder Name � � Owner Phone Number � �
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<br /> Fee Simple Titleholder Addresa -
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<br /> JOB ADDRESS� � � Jr'� 1tiA-ru. 1�-- �, �oT�
<br /> suBoirnsioN �merr�-�j�o�ns; � PARCEL tD# '�� ��@ c�l ���ZD .b"t��t�d l>f>/� '
<br /> � , ' (OBTAIN6D EROM PROPERTI!TAX NOTICE)
<br /> WORK PROPt3 ED •,NBw CONS'fR ADDIAIT C'� 5tG(U' �� Q DEMOLlSH ;
<br /> I� ',e. INSTALL 8 REPiAIR
<br />, FR�P05ED=USE Q SFR. Q CQMM . [� t�THER _
<br /> TYPE AF CON TRUGTION <• Q" °"9LOCK ' Q FRAME �� STEEI. '�]
<br /> pESGRIPTIONI,OF WORK' , �-�� Gt��N e-f�LL- / �7'"n7 t1J�P�Z� � a ��'L .
<br />' IBUIlDtNG S!2 i �� �`SQ fOOTAGE `� HEIGHT �.E�� �
<br /> 0����' ��� . �� VALUATtON`fJF`TOTA�CONSTRUCTION rv ,
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<br /> QELEGTRiCAi. I:($ ' � AMP SERVICE. •Q PRGIGRESS ENERGY � W.R.E.C.
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<br /> QPLU BINC, ,��� � ' ' '
<br /> QMEC ANIGA� ($� � VALCJATION pF=MECtiA1V1CA1:li�iSTAL1.AT10iV. �
<br /> � ���-�6, oo . . . . . � j
<br /> �GAS Q FtOQFING Q,= , SPECIALTY;.��,•_-..OTFiER�, _ �
<br /> FINISHED FLOOR ELEVATIQNS r�� FI.00D ZQNE AREA ,QYES. NO
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<br /> �u«a�� coM�iuzit:� .. .._ � ,.
<br /> SIGNATURE �'i REGIS7ERED Y/ N ' 'FEE CURREP Y/N' .
<br /> � Addresa i k � • �Cicen"se#���:: �
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<br /> ElECTRtC1AN . � 'COMPANY ' � ,. . ..
<br /> SIGNpTURE � REGISTERED Y/ N �E curt��-" " 'Y/N
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<br /> Addresa ' " . ` License:# �- f �
<br /> PLUMBER" GOMPANY ` > : - '
<br /> SIGNATURE' ReGiS.TEREo YJ..N: . F�e:cuEtRen� Y:•/N
<br /> Address , . ' .Cicense,#���• . -. � : ��� �
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<br /> MECHANICAt:'' ,- :, ���;X,�,, ,i O�G�?tAJL ,,. CBMPANY. ���J�S_ �.. . l�1�-' �/3`I��'7�_"-', " �
<br /> SIGNATURE ��1� REGI57ERED Y./.N . ., FEE CURRE�.. YJrN .
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<br /> . .. �'�� !`t�t�' �. �"�lLlS � s _ , . �tcerise# �.���L�d ���'�g �
<br /> Adclre�s��-�=
<br /> �. , - • - ' - .
<br /> OTiiEEt �' - � ' � '.GOMPAN1f` �
<br /> 51GNA74IRE ��' � ' ' ' '" � REGISTERED Y/ N:..- FEE CURRE�� Y/N �
<br /> Address ' R,4„�' ... 5 - . , - .. Ucense#�� ' < �� _.
<br /> �.., �.,,.., � � � ,
<br /> RESIDEN'i'IAI: � : Attacti'{2};Plo#�P,latts:..(2}sets�of'Bulldingi Pla�s;'{1)sef oF Energy`Foans;Y R-0=V4t Perinit for new construclion,
<br /> �;..�.- _,• �
<br /> •�: �� Minimum�ten�(1.0)�workingydays,afker.;submlttal`dat"e.�.Required onsRe„ConstiucBan=Pians;°'StonnwaterPlans�w!Silt Fence instailed, �
<br /> `� '� Sani�aryFac11i8es;&,1y,dumpster•_SIte�Woricy.P..ermitforsubdivi5lons/large;projeafs. ,._:_;..��. . "� � � _
<br /> COMMERCIAl. Af#ach{3}�poinplete sefs°of 8u11�iog Pla�'s plus a Life Safety Page;{1}set of Energy Famts.RA•W Petmit for new caasttuctia».
<br /> Minimum ten(10)working days afker submltMal date. Requlred onsite,Constructton Plans,Stortnwater Plans w/Silt Fence installed, ,
<br /> San(tary FaciliUes&1 dumpster.Stte Work Permit for all new projects:.All commercial requlrements.must meet compilanGe �� �
<br /> SiGH PERMIT Attacbi"{2)sets of'Eng,i'nee�r.ed�Plans:,, :.�-�..�� :. �._ . . - ' � ,
<br /> """PROPERTY SURVEY reguired„for_all fVEW consWcUon.
<br /> Dlrec#ions: ••-�- .: . _ •-
<br /> Ftll out ap�licatlon completely. • t
<br /> Owner 8 Cantractor slgn back of appltcaHon,notarized
<br /> � tf over�2�OQ,a Notiee af.Cammencement Is reqnired, (A!C upgracfes aver iT500} . ' ` '
<br /> '" Agent(for the contractor)ar"Power of Attoiiiey�(tor`tlie owner)would be�someone with�notariz 1@;tter ?; o n�e,r a o�zin same
<br /> .T� �`a—;'siYr.S�. Asr;Hairv'�.+��".�tra&a:�n�"�a«r�? , az.��jE�.be ��yy�a )
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<br /> �, C}VER THE COttN.T.ER,F �� .;�r�:.;{F�nt��f 1�ipplication,Qnly)�,� .�1s,�A.,,, �;
<br /> ����.�}•yti�,.
<br /> �I Reroofs if shing�es S wqr� S,ervi Up r,a�l�s ,N��';"�„>:�ences(Plat/Survey/Footage) r.�:;,nl;t�;,rpt%; • ��t,i;;�i vus�e�t� ',"=�„2��, i�
<br /> r.��!��i�t�t,a.;�- �re r � o . -, •: �y � /
<br /> ( . �. -Crt �--. .._ . -- =:�^4;�f� -°�. ?� - . '. . ;tiF$.ect r�tbaa�iqz� r�tr�ra,}t�,3 .n�:.�° ' ..
<br /> t�^,j�t i��t,p��i�':ros,z��y tr± - g x
<br /> 'Drivswaya�-{Votaver unte ifon.p b c a s..ne�OV1t.: � y�aNt:��!��na:���r::t�an,i ":'�k- ,�"'��
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