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813aso-oo2o City af Zephyrhilis Permit Application Fax-813-780-0021
<br /> � _� 8uliding Depatlment .
<br /> Date Recetved _ � :phanejGanta�'for Fei�mitti» —
<br /> Owner's Wame I .,;� /' Owner Phane Number
<br /> Owner's Address p;-'�' ,('.r' - �Y Owner Phone Number �� �
<br /> Fee Simple TI#leholder Name � � Owner Phone Number �� �
<br /> Fee Simpla Titleholdar Address
<br /> J08 ADDRESB U �G Q� ,).� � LOT# ��
<br /> susoiv�siaN 1 . �� �n�cE�.o� ��—���/"w- /5��G����— f�d2/U
<br /> - , (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPt}SED � NEW CONSTR ADRIAI.T �` SIGN `Q Q DEMOt�tSH
<br /> INSTALL 8 REPAIR
<br /> PROP05ED;U$E Q $FR [� COMM Q QTHEi2
<br /> TYPE OF CQNSTRUCTION Q BLOCK " [`] FRAME [,_� STEEL Q
<br /> �. �
<br /> DESCRIPTION OF WORK' - � �� ,Q/
<br /> BUILDITIG SlZE �� �`SQ FOOTAGE��l�. ,,HEFGHT ���
<br /> �8���'�»�' � VALtlATtON`'OF`i'OTAz CONSTRI`1C'CION M�
<br /> ���d
<br /> QEL•ECTRICA� ($ ' � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> �
<br /> QPLUM6ING � � '
<br /> �
<br /> [�MECHANICAL $ VAIUATiOIU OF MECNANICA�lNBTALLATlQN
<br /> - � �� ., , .
<br /> QGAS � FtQOFtNG .Q SPECiALTY, � QTHER
<br /> FINISHED FLOOR ELEVATIQNS r�� FI.00D ZQNE AREA [�YES� NO
<br /> L
<br /> BUiLDER � ��,/� COMPANY' �Go� �/~�t'i�l-�iiG�
<br /> 31GNA7URH t�'/' REGI�7ERED / N FEE CURRE� Y/N
<br /> Address G���� /� � � �� , lfcense# /.���� ' �
<br /> ECECTRICIAtV; �COMPANY .
<br /> SIGNATURE �' REGISTERED Y/ N �e cUr2Re�'� �Y/N
<br /> a ._ ('"�'
<br /> Addre`ss � . . . Ucense# [ . .: ` � �
<br /> P�UM�ER . COMPANY -
<br /> SIGNATURE � " � � , REGI�aTERED Y,/-N, �LLEEE CURRE� Y•/N, �
<br /> Addresa license# 1� _ ' , �
<br /> MECHANECAI: � � COMPANY - '
<br /> SIGNA7UFtE • � � � � REG.ISTEBED ,� . Y,/ N = ; FEE CURREA- Y/N - -
<br /> Address`'' " , , _ , k � ,:. , , ' � .. License# �, .�- � .
<br /> OTHEFt " . . -"' ';COMPANY � _
<br /> SIGNATURE ` ::i` .� �=- " ' ' ' '" REGISTERED` Y/ Nf.. � FEE CURRE� Y/N .
<br /> �ddcess'. . 1 . < . _ Liaense#�� �
<br /> �.. . ,:..:, . .,... ._ ,* .. �.. :, f.,�..,..,,, •�< __ �
<br /> REStD�NTtAL�:;. °Attacti{2)„P2dtiPla'n's;.,(2}sefs=:of;BuililingFPtans;('!}setofEiiergy�Foriras;R=O=W`Peririltto�newcoastrucUon, .
<br /> � �;_.Mi,nimum;ten;(1,0);vunrtiing'days�after;§ubinittal'date.�;R`equired onsite,:Construcdan-Rlans;Stormwate�'Plans wl Siit Fence instailed, I
<br /> � �Sanitary FaciltUes:&f;1,,dumpste_r,�Site�Work,:P„ermit forsubdlvislons/large projegfs- . - -,:- ' �
<br /> GOIVIMERCIAi. Attach{8)c8mpleta"sets'of Bulldtng Plans plus a�ife=Safety Page;(1}set of Eaergy Forms.R Q-W Permit#ar nev�i canstructlon.
<br /> Minimum ten(10)woridng days afker submittat date. Required onsite,Canstruclian Plans,Stormwater Plans w!Silt Fence instatled,
<br /> Sanitary Factlides&1 dumpster.Site Wor1c Permit for all new.proJects_All commerclal requirements.must meet compllance ' �
<br /> S1�N PERMlT Attac�{2)sets of�nginee,r.ad,Plans.,.=,..M- , ,' , - '
<br /> ••'"PROPERIY SUR1/EY raquirad for all NEW canstructian. �
<br /> Dires#lon�: �� - � - '
<br /> Ftll out applicatlan completely.
<br /> Owner&Cantractor sign back of applicattan,notadzed
<br /> If aver�2500,a Natice of Commenceme�!�required. (A/C upgrades over 57500}
<br /> :,�.;<,, ,,,,,,,,,;,
<br /> '" Agent(for the contractor)7'or Povuer of Aktoiney(for the owner)would be�someone with notarized letter from owner autho�izing same
<br /> DVER 7HE COUNTER PERMIITING . - .{Fmnt of-ApplicaUan-Oniy} -- -
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foatage) _
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<br /> Drivawaya-NatoverCounterifon.pubtic=roaduvays::needs•ROW�-'=:��.�-: , r ,;.�=}�-?�i`•�"..-:;i�' , �.1++ .
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