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i <br /> ` � ` 813-)80-0020 City of Zephyrhiils Permit Application Fax-813-�80-0027 <br /> iBuiltling Depailmenl <br /> OateRaauWed _ /�.23 <br /> ��� Phone Contact for Permldln )3 750 <br /> OWner's Name TK L G Ownar Phona Number O�03`,J2 � 3 <br /> OWners Addmss 1 a0�,� (Q�� ,w „n �� 'r pwner Phnne Number ' <br /> Fae Simplr Tiiieholder Namc C: Z /'�k� R Oxmer Phone Numbcr <br /> Fee Slmple Tlqahoider Address 5335 � S�rCG�- �^1 � j Jf �� 33 Sy� <br /> JOBADDRESS Ci'�^ p� Z j fl �r pfj- LOT# C� <br /> SUBDIVISION PARLEL IDtJ 73—��'"�'��m�"��'��"�1S <br /> IDBTAWED FROM PROPERiY TAk NOTIC� <br /> WORKPROPOSE� NEWCONSiF A��/ALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> % <br /> PROPOSED USE � SFR '7�COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � g7EEL <br /> DESCRIP710N OF WORK l�'��L��CL��SSI. L`f L�n�`��J�N �d.dN� (VS -C u ti+ j�C1lj <br /> BUILDINGS¢E loo�odxzds SQFOOTAGE i�ip� HEIGHT zO�g�� 2� �� <br /> QB�UILOING S VALUATION OF TOTAL CONSTRUCTION <br /> 0 8� <br /> �ELECTRICAL 5 �,� R.�� AMP SERVICE 3�� Q PROGRESS ENERGY Q W,RE.C. <br /> � �r� <br /> �PLUMBWG s 6 �'�4,� <br /> �MECHANICAL $ 1� VALUATION OF MECHANICAL INS7ALLATION <br /> �!�.J� <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES ND <br /> BUILDER COMPANY «�`' G'C'uC'�L�'�+ C't.7�G�-�'Z' �`��[�� <br /> SIGNATtJRE REGISTF1teo Y/N FEE CUanEn Y/N <br /> Address ?.s(��. F( oJK 7�G �1T G FL�5�•3 LicenseN � ��522��� � <br /> £LECTRlCIAN COMPANY �"��� ; �j� <br /> SIGNATURE REGISTERED Y!N FEECURREA Y/N <br /> Add�ess ��e g <br /> PLUMBER -�'�+p� COMPANY <br /> SIGNATURE 1 [J � REOI9TERED Y f N F�curir�. Y I N <br /> Address License�r <br /> MECNAHICAL COMPANY lt-�,�� ;'� �u���--� <br /> SIGNATURE r�c�srEt� Y/N �e cuaaEn Y/N <br /> Artdress S� IJ• /�r+�i,'1'��1 14tl� �' v/� L�c�etl AF�b Z. �� <br /> OTHER COMPANY �L' �1'� C O��'T <br /> SIGNATURE �YtEOiSTERED Y I N FEE CURItE� Y/N <br /> l7C <br /> Addrnss 4censefi <br /> � � � � � � � tri �t � � iii � i � � i� � � � �� ir � � iit � � t � � i � � � � � � i � � � � iii � � � i �� � � � r � t <br /> RESIDENTIAL Attach(2)Plol Poarts;(2)seLs of Bu�ng Plans;(1)sel af Energy Forms;R•0.W Pertnil far rtew consUuction, <br /> Minimum len{10)warking days afler submittal dale, Required ansile,Conslruc6on Ylans,Stormxraler Plans w1 Silt Fence installed. <br /> SaNlary Facillties 8 7 Cumpsler,Sile Work Permil for subdivisions/large prqects � <br /> COMMERCIAL Atlach(2)compfelo sels ot Buitdmg Plans pius a Lile Salety Page;(1)scl of Energy Farms.R-0-W Pertnit for new consWUion, <br /> Mimmum len(90)working days atte�submittal tlale.Reqwred onsde,ConstrucLen Pians,Stort�twelet Plans w/Sill Fe�ae iretalled. ' <br /> Sarnlery Faedifies 8 1 dumpster.S�te Work Permit for all new projects.Ap wmmercial requirements must meet compliance <br /> SIGN PERMR Atteeh(2)sels oi Engmeered Plans. 1 <br /> ""PROPERTY SURVEV requ'ved tor ail NEVJ consWdion. <br /> DTrechons:• <br /> FII oul apRbca�on completely. <br /> Owner&ConUactor sign back of appticalion,nolanzed <br /> IT aver;2500,a Nollce o}Commencement Is required. (AfC upgrades ovet 575D0) <br /> " l�gant(fw Iha conlfaclor)or Power o(Atlomey{for lhe rnmerJ xrould 6e sonteo�e wdh notarized IeHet from o.mer aulboriLng same <br /> OVER THE COUNTER PERMf171NG (copy of contract requlred) <br /> Rerools if shinglas Sewers Service Upgrades A1C Fencas(PIoUSurvey/Footage) <br /> Driveways-No1 ovcr Counfer d on pubUc coadways.needs ROW I <br />