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81&7B4D020 � � j ' ��v r ���� <br /> City of Zephyrhiils Permit Application Fax-813780-0021 <br /> Building Departrnent <br /> . Ir : . <br /> _✓ <br /> �R�°� — """ � Phoae Conteet for Permktln �!� �a 7 _i Y S 2 <br /> Ownds Name I` ��i.i� rn�-1 �0 Ownor Phone NumWr I '7 a 1 �y�� <br /> Owmrs Addms J �PJ � �PcJ Pdtif" A �-- Owner Phone N�nnb�r <br /> FN Simpl�Titieholde Name Owner Phone Number <br /> F��Simple TiUehold� Address <br /> JOBADDRE33 a� I �"J��� �'�— LOT! � <br /> SUBDMSION � +. . . �- PARCEL IDA '�'a'�'��3 L"DTh.�IX.�"07�C� <br /> (OBTAIl�D FROY PROPERiY TAII NOIIC� <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SION Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7YPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF W rac �L��� � cR..ig' 3 7—�:� i`i 5��, � 5 (c PK�„� u��% <br /> BUILDINO SIZE SQ FOOTAOE� HEIOHT � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUMBING S <br /> �MECHANIC 5/_ � � VALUATIOtd OF MECHANICAL INSTALLATION <br /> KJ <br /> QGAS Q ROOFING Q SPECUILTY Q OTHER <br /> FINISHED FLOOR AT10NS FLOOD 20NE AREA QYES NO <br /> BUIIDER COMPANY <br /> 91GNATURE REGI9TERFD Y/N �cuw�n Y/N <br /> Addnss Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNA7URE r�cisreaeo Y/N �CUaa6� Y/N <br /> Addross License# <br /> PLUMBER COINPANY <br /> SIGNA7URE REGISTERED Y/N �cuRRo� Y/N <br /> Addws� Llcense# <br /> Mectuwic,�u � con�riwr <br /> D �t.�(f C�,S <br /> SIGNATLRE REGISTERED Y I N �cuwtER Y/N <br /> Address D�l: L�C 01v�� riv� Lieense# � �"J rJ� <br /> OTHER. COMPANY <br /> SIGNATURE REGISTFRED Y/N �cuwta Y/N <br /> Addnu LJcenae# <br /> 1"1-f I'71"i f�- 777'ff it 1"1"1-1-1-fi'7-i't'Ti� Il'/7 1'77 f Il I"1-1 f'I lTI 1 T'i IT I l'T7 T7-TT7'I7 I-1'1 <br /> RESIDENTIAL ch(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnft tor new constructian, <br /> Inimum ten(10)woridnp deys efter suhmltfel date. Requlred onsfte,ConstrucUon Plans,Starmwater Plana w/SIH Fence Inetelled. <br /> nflary FaeiliUes 81 dumpster,Sfte Work Permit for subdhrisionslla�ge proJeGs <br /> COMINERClAL ch(3)complete seffi of BuOding Plens plus e Life Safety Page;(1)set of Energy Forms.R-aW Permk for new construdlon. <br /> Inimum tan(10)worldng days atier submflfal date. Requlred onsite,Construdion Pians,Stormwater Piens w/Sflt Fenoe Instetied, <br /> ftary Fadlidas 81 dumpster.Ske Wak PertnR for all new proJecfs.All commerdel requiremerds must meet compliance <br /> SIGN PERNR eh(2)sets of Engineerod Plans. <br /> PROPERTY SURVEY requlred for all NEW conatrucUon. <br /> Dinetlan: <br /> FlII out eppliea n completety. <br /> Ovmer 6 Con eign bedc of applicedon,nWariaed <br /> M owr=2500, Notlw oi Comm�neemmrt is requlred. (NC upprodes over i7300) I <br /> " Agent(tor the traetor)or Power of Attomey(ta the ovmer)would be someone with notarized letter from ovmer euUioriang same <br /> OVFR THE COU R PERMITTIN3 (Front of Applkatlon Onty) <br /> Reroofe if ehingles Sewers Service Upgrades A/C Fencea(PIoUSurvey/Footege) <br /> Drlv�ways-No over Counter H on puMie roadways..ne�s ROW <br />