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,813-780;aozo City of Zephyrhilis Permit Applicatipn Fa�c-813-78Q-0021
<br /> Building Department
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<br /> ` - -• Ph�ne�Cont`ac!"for Peririittin" °:' `
<br /> Owoer's Name � V� ��-- r .� ,�.;1�t.G/C. O�srnar,Phone Number' CJ�� ��� ` ��� .�. `
<br /> Owner'�Addresa .S C�� c' /'�e SS S�.'' - 'Cfw'nerPhone Ptumber �� �� � �
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<br /> Fee Simple Titlehol e'r'N , �` - - �` , � o-� �� �
<br /> d ame=� Owner.Phone Number , _
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<br /> Fee Simple Tltleholde,r.Acldre�s , • �-�:-, , ,,_, - . .
<br /> JOB ADDPtESS �QiGr'G'c.Q..' . , LOY# �
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<br /> SUBDIVISION � , --.."" � `PARCEL�ID# '�� 02' 02.�� '` /��(/ , 3D"
<br /> - _ < ' - . ., ' ''; �(OSTAINED'EROA1�RQPERtY 7AX NOTICEj "
<br /> 1filORK PROPOSED E` NEW CONS7'R ��"� "` ADD/A�CT� ��" SIGN [� �` Q��` DEMOI:ISH �
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<br /> h°� INS.TALL �='s: ..REPAIR� ' ,- - '
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<br /> PRQPOSED USE � SFR � COMNi'` OTtiEfi� `
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<br /> TYP6 OF CONSTRUCI'ION; C]"� ,'�;BL`OCK '. '�]� `F12AME � .STEEL,��; _[���,_]. ._ �
<br /> DESCRiP71C1N OF WORK m . ����. ' r
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<br /> BUILDING�SiZE:���� .�'':.,. F `� �a p:�.. � . �-�,HEIGHT;�s T �+=.���J�' - ,
<br /> SQ QO'1`AGE
<br /> QBUILDItVG $, �;c.�r��� �.��.m-,�.��_ � . . . , - . � '�
<br /> . � , VALUATION"OF`TbTAL`COMSTRUCTION
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<br /> QEI.ECTRIGAC $ � AMP SERViCE �' PROGRESS ENERGY [� .R.E.C.
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<br /> QP�UMBING $' '
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<br /> NIECHANIGA� � $ �1tAGtlP►T'ION;OF MECIiAMICAL lIdSTALLATIO�! `���3� �
<br /> QC3AS ,_, .[�� ,;Rt�QFING.,:-=0 - SPEGIA�TY�Q` Q3`HER= 3" .
<br /> FIiVISHED Fl.00R ELEVATIONS FLOOD ZONE AREA QYES. NO� �`� l ��
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<br /> �UIi.DER � - -- _ - _ . - - � CQMPANY'-.,�:,:., -;� . .
<br /> I SIGIVATUPZE RECiISTEREb Y/ N. FeE CURRE�'' Y/.N. - .
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<br /> Addre�s -` '., . � - Llcense�#` � � " ;
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<br /> El.EC=RICi�At�t.,.�, : . " � ;,, CCtMPAtilY ;',�" , - � � , - , _
<br /> SIGNATURE � REl31STERED Y/ N FEE GURREK. Y/N :
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<br /> �ddre�� " ,.. " • _�; • • , , ,p 1' �.License;#.>�'":�i . ,
<br /> PLUtIRBER � , - , COMPI.UVIf� , ` �, �� , � . � _ ` .
<br /> SIGNATUR� � ` . �� � 4 _ � <RECiIS7EREp'- .a�; �,'�rY;/;<Nt, � 7.v EEE:CURREt�`" '.. •Y/=N�
<br /> Addr��a � - _ � , .- License#s.��. • '.�
<br /> lYtECltAP11GAL' l ' ` � .,. � ;GGiMPAN1F„-' fi:'�r'��� _ ' ' . Y
<br /> SI(iNATURE ' `�`„L�/7G�-'�. RECiI TERED=:• _ �IV-.,> -;FEE:CURREA: . ryW �•• -
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<br /> �4 �.:,.�, ;.License# �_ �
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<br /> SIGNI�TURE. ." . . . . ::'.'Ys.'r � `�,� `5 ,REGIS7ERED_. .Y/,N.;'♦�- .:EE�'CURRE�<, _ .`,Y,LIYF-:.� , ; . . .
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<br /> Addre�s �.��� _ �:^��'1,r .f,` . �tJrcetise�#���_ ti�� �
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<br /> RCSIDENTIAl:.��_=Attach�2�:P1ot P„lans�°�(2�'sets.ofs8t�11cl�(�tRlans,(�1 1`sef"of�Ene�}y��j�Forins�;R=O-W�Perml#;f4`t.n�w,constni�#�on,�<:,.r,� , .
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<br /> ^,Mlnlmurins,tenF s10: worktn�rytd :after,:suti�;i�ltfsl�ilate:�R�`''n uired onslte;�Cri`nstru'gtlon=Plans;;.Sta;rmwate.'`r,"`Plans:vii%`Sllt Fence.installed,- - ,
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<br /> �:Sanitary.FedlJtles,��1{,�u.mi�ster,',�Slte,lhloiie`,Perrniti:for:sutitlisrlslO�is�large'picject's�.;:�;�a���a;_�i`�'�'°�,��', _.. .. . .. __ .., _ _, _
<br /> COMWl�i2CtAtt. Attach 3 com``lete`�ets cf'Su11�in�Piatis�`tus a Life Safe��Pa e� 1 set of Ene � Fotms.R-0-W Petmit for new cc�nstniction:
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<br /> Minimum ten(1q)working days'efter submlttal date. Required onstte,.Construc8on Plens,Stormwater Plans w/Silt Fence lnstalled; ��
<br /> Sanitary„Fadlitles:8;7,dumpster,a3ite.Work,Pennit•for•ail;new�projec'ts:�Al!"commerdal:r�equirements_must_meetccmpitancs , .. -: .
<br /> S1GN�PERMiT Attac7i-:(2)setsiif�ng"i�ie+ai?eii;Pi'ans:.,�;;��.u��;- ,.,�>-_'{�-. - �., ' „ � , _.
<br /> ••"•PRQPERTY SURVEY requlred,.for;al,l NEW�cansfructlon.-- .' - -� _ , . •- , _�
<br /> ` `Directl'ons: , :_�.�=��.-e _ _ , ._ __, __.. , __. ,�. ._. �. �. .
<br /> � �ill:out appUcatlamcompletely.
<br /> . C?waer 8�.Con�ctor slgn-back.aCappltca#tan;notadz�!
<br /> If over�2500.,a;Notice.of.Cominenc�meflt l�re.qulred. (AIC upgrades ov�r 57500),_,.., . f� .. y
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<br /> Agent(for Uie contractaC)41r Powe[of�Attomey(fot#he owner)would be someone=with ngtarized letter fram owner authoriz►ng same
<br /> �,D.VER TiiE=COUNTER:PERMiTfINCi,c:--.:':°`(Front'of•�iPP�IcatiPn O�nty)"�- _ ...� ` . -
<br /> Reroofs If sHingles Sewers Service Upgrades.A/C , ,Fences(Plot/Sunrey/Footage) -.- -- _ � ,
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<br /> 13rlvew�ys-Not aver Gauntertf'on•publlc roadways.:needs RQW� �
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