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���-t��01� Cit}r af Zephyrhllis Permit Rpplication Fax 813-7$0-0d21 � t
<br /> Building Department . , r�
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<br /> DaRe Receiv�d i
<br /> -: phone�Gontactfor�P�armittin C
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<br /> Own�r'a W�am� �a 7 e�^ S�z�^cdl< h Own�r Phone Piumber ��13 y 3 S� �7'7� �"
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<br /> Owner's Address �� ~'`� �a fr �j� ' ZeP�'l r�'��l��`� �Z Owner Phone►dumber �
<br /> iFae SFmpte Titteholder.Name �� � Owner Rhone Nurnber � � �
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<br /> F�e 3lmpte'fltteholder Address ;�
<br /> aos c����ss ;��° ��f! ��1�� �c�'w���,als �� 3�5�1 � ��� � `'
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<br /> SktBDfVI$ION �� �- F.ARCEL.ID;t� ; +
<br /> I _ • • (OB,TAINEO F.ROM PROPERTY TAX NOTIC� ; �
<br /> WORK PRQPOSEp �_NEW'CONSTR AQD/ALT ��' SIGN Q [� QEMQLtSH � `
<br /> ���. INSTALL 8 : REPAIR . . u
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<br /> PROPOSED�USE - [� SFR� r] GOMM� � OTHER � �
<br /> rni�o�co�s�tuc�nar� �(�� � B�ocK � [Q FRAME � STEEC 'Q �
<br /> ,} E'_tlCt� t:—Y�v1k' ��`i��oo �t y'l�'� �t9'"t S � i "s,
<br /> DESGRIP'{10N OF WORK � �
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<br /> BWLQING SlZE' �� � SQ FQOTAGE��r _,HEiGF,lT���f � ! � '
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<br /> QBUILDING $ ^. ��� VAR.UATIC3N"OF�TIaTAL"COI+tS'�FtllCTlt?N"`� . � I !
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<br /> QELECTRICAL $ - AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. � s
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<br /> OPLUMBWG �$ _� ' � (
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<br /> QMECHANICAL $ VALUATIQN OF MECHANICAL INSTALI:�T'ION �
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<br /> CJGAS Q ROOFING Q SPECIALTY � OTMER �
<br /> FINtSHED FIOOR E�EVA7lONS � FLOpD zONE AREA QYES. NO �
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<br /> BWILDER COMPANY� �
<br /> StGNATURE ttE�Esr�tEo Y! N ���ctia�n � Y I N i i
<br /> Address ' � �tcense#'i" � !
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<br /> ELECTWCIf1N : � COMPANY � , - �
<br /> SIGNATtJRE � t��ts�t�o Y! N FEE GCIRREt�u� =�Y 1 N �
<br /> Addre�s � _ ._ t,icense#.� �� � � �
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<br /> PLUMBER COMPANY • �,.- �
<br /> SIGNA'fURE` f .,REGlSiEEtED ,� - Y.1,N„ - FEE GU$itE� Y�I RI. � I
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<br /> Addleess � <.UCenSB�# e ,. . - i
<br /> I MECHANIGAI:` " � ' COAAPANY ' �
<br /> � SlGNATURE �� . , � ` FtEGISTEf2E.D . Y..l Id ."_ � FEE CURREh., Y./-N
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<br /> Addre�s`">-,-: • • 4 • ' s - ' License# ��
<br /> OTHER i � ' - � �;COMPAPIY;
<br /> Stt3[�ATUR� •,�_, � : ;; - � • � ' ` `tiE��sT�itFa`'. : Y!'N..�; ,` ��ctiR��E Y 7 N. '
<br /> Address �, _, i r. .. . . � �
<br /> . . Gcense# } - ' �
<br /> RESIDENTIAL;;:'"'-,AttacFi"(�),;Plot'�Plans;..(2)sets.of�Buq3ifngrPlan"s;'(i)�s�tof�Energy�Fo"rms;R=C1�VV�'Perin'`lf fbr.��ew construceon, � -' ''
<br /> �,�;:Mtn4mum�ten;,(10a;wottting:��ays=atte�"s"utiinift�ai`date::�Requli+eid onsRte;:Gon�tiit'�c#ionttP�ans;=Stonnwater P1ans�w!Si1t Fence installeil,
<br /> .� Sanifery�acititles�&�;1y,dumps�ter�°SIta4�IVork Permit�fai�;subdiW'sionsAaPge=Pro)ects:-y �w;,":.�'' - � �
<br /> COMMERCIAL Attach(3)�oomplete sets of 9uilding Plans'plu�a Ltfe Sefety Page;(1)set of E'nergy Forms.R-O-W Permit far new construi:tion.
<br /> Mlntmum fan{1i}}working days after submlft�l date. Ftequired os�site,Construc�tion Plans,Stormwater P1ans wl 81ft Fenae Installed,
<br /> Sanitary Facilities&1 dumpster.,Site Work Permit for all neVv.projects..All commercial requirements,must ineet compllance �
<br /> SIGN PERMIT AttacFti(2)sets ofEnglneered�:Plans:;::-,-.'���•^:...: .: � .
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<br /> ""PRUPERTY SURV�Y requlred for at[NE1N,consh^uc�on.. ,
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<br /> Dlr"actlons: � .. .. � , ,
<br /> Fiti aut applicatlon completely,
<br /> I Owner 8 Contractor sign back of applfcatlon,notarfzed �
<br /> If over$25d0,a Notice.of Commencement Is requlred. (A!C upgrades av�r ST500)
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<br /> " qgent(for the contractat)'oF'Power.cif Attomey{for ttie owner}woulid be someon�with nota�ized tetter from owner autltiorizing same
<br /> DVER THE COUNTER:PERMITTING- ---�{Front of-Appllcation�Only)- �
<br /> Reroafs tf shingles Sewers Service Upgrades AtC Fenc�s{PIaU3urveylFoo#age)
<br /> Drivewaya-Nat over Counter if on p�bli�,road�±!a,ys;rieeds ROW �
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