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stsaso;oo20-�.�,�;. ._ u:M..,._.U.��,+. , �,'�4:` City of Zephyrhiils PeFmitApplicatian: _ �.�n,,`'.F.+._~�. `�Y.J: �aX-813-780-0021
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<br /> . . � ',/^`�.�'` �.�..;�;`a . Building Department_� , , "' ,.; • `. . ;.
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<br /> Date Reaelved � � �9�' ' • - • • • • �j� — •�"pry ,y� `~�
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<br /> f ��;`1 Phone�CantacE�for�Rerrtilttin' ��=�'
<br /> .. . � - , / � .
<br /> Owner's Name � �e Owner Phone Number '" r
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<br /> Ownar's Addres'a ' � � ��. Owner�Phane Flumber
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<br /> Fee Simple 7ltleholder.Name � � � Owner Phone Number C
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<br /> Fee Simple Tltleliolder.Address -
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<br /> JOBADDRESS }� ���...7 -I� �- ' LOT# �
<br /> suBo�v�sioN � � � P�c���r� �2-��2-�-Q�Lt,���2-�11Q•--lS6�L3
<br /> _ {OBTAINED F;ROk1,PROPER7YTAX NO'TtCE)
<br /> WORK PRQPOSED ' �„NEW CONSTR ADDIAI.T C�� SIGN Q �[� DEMOLtSH
<br /> e, INSTALL 8 :-REPAIR' �r
<br /> PROPOSEDt.USE , [,] SFR C] COMM � �OTHER ' ' ' � � ' � ' '
<br /> TYPE OF CONSTRUCTION - Q' ' 'BLOCK " C] FRAME � STE�L C]
<br /> DESCRIP'f10N OF WORK 3JG'•�� ` 1`
<br /> BUlI.QtNG8lIE � �`.SQ�FOt1TAGE�: -- HEtGHT��,�
<br /> QBUILGlNG , $ ] �"'� VA1.ttAT10N�"OF'TO'i'AL,CONS'i'RtJCtI0A1 A ~, , � . _ .
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<br /> C]ELECTRIGAL ' � ' ' AMP SERVICE Q PROGRESS ENERGY Q. W:R.E.C.
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<br /> QPLUMBING- $ 4 _.. . /�ll r ! �/r,���i7�Y�"1
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<br /> OMECHANIGAL r $ � ' ' VALUATION OF,MECHANICAL WSTALLA710N � �� ��„
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<br /> �JGAS C] ROOFING ;Q SPECIALTY [,;�� OTHER� ,�� . �lC��f'�/yL�
<br /> FINISHHD FLOOR ELEVATIONS FLOOD ZONE AREA YES NO ��G�
<br /> 0 .
<br /> - f
<br /> BUILDBlt /'� L cai�PA�ir; _ � ���1� �
<br /> SIGNATURE V REGISTEREp Y/ N FE CURREA ' Y/N"
<br /> Address �. _ ,� License#'( �i��
<br /> ELEGTRIClAN:- , .'�CdMPANY � - ` • '
<br /> SIGNATURE � REGISTEREp Y/ N FEE CURRE�'+ '` "''Y!N '
<br /> Addr�ss � - � . . . License#:1 . �� , —�
<br /> PLUMBER ' . � GOMPANY , ' � �
<br /> SIGNATURE` " ' REGISTERED 'Y„/;-N�� ;; :FEECURR@A Y•/N •� :_ '
<br /> Addte88 LiCenSB.# C, ' , , 1
<br /> MECMANICAL" � � C.OMPpNY; � '
<br /> SiGNATURE � � ' ���sT�Rea . Y:/ N . _ FeE cuw�En- Y./�.�N ., -
<br /> Address . - ." . • _^� . � � � _ - Y License#�I i
<br /> �� , � �.,�. ,
<br /> OTHEPt ' ' . , ":COMPANY _ �
<br /> $IGNATURE � " � ' �` REGISTERED` ' Y/ N;_ FEE CURRE� Y/N .
<br /> �� ,.
<br /> Address .t _ . . . t "License#�� - . , �
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<br /> RESIDENTIAL�,:�'_Attacti�`(2)..PlotiPlans;.,(2)sets:of�Building Plaris;(1)�'set ofiEnergy���orms;R=0=1N�'Perinit for new construction, ' `' , � „
<br /> Minimum�tenX(1.Q)aworictng;days,�after,:submittat`date:=,Requi�ed onsife;;ConstrticHon�Pians;�5tormwater'Plans�w/Spt`Fence In§talled,
<br /> •�:.� r San4tary FacViitles:8�;�1,�dumpste_r,-=v8ite�WorkFPerm�t#orsubifivisionsllarge�projecfs,,.�.;;.,. . .. +,;;,.
<br /> � COMMERCIAL Attach(3)�compteCe-sets'of 8uililing Plans plus a Ufc�'Safe{y Page;(9}sat of Energy Forms.R Q-W Permit#or nevV constni�tloo.
<br /> Mtnimum ten(10)working days�after submittal date. Required onsfke,ConsUucdon Plans,5tormwater Plans w/Silt Fence installed,
<br /> Sanitary Facili8es 81 dumpster.Site Work Permit far atl new:projects.Alt c:ommerciat requlrements.must mee#complience `
<br /> SIGN PERMI7 Attacti{2)'sets of�Engine�ied;Plans:; - � . _ � '
<br /> '""PROPERTY SUR1/EY required for all NEVl/c�nstructlon. , • •
<br /> Dlrecllons: _ - _ '` ';
<br /> FIII out applicatlon completel�.
<br /> Owner&Cantractor stgn back of appiicatlon,natarized
<br /> If over�.Z50Q a Notice of Commencernent is requlred. {AtC apgrades aver 57540y
<br /> .. -..;;;.����.� ;
<br /> Agent{far dte'conVactor}or'Povirer of Attbmey'{Sor tiie owner}woutd be someone wrtth��atarized ietter fram owner authorizing same
<br /> DVER THE CQUN.T.ER.PERMFT'PlNG -{Front cf-Applica�on Oniy} - ' � �
<br /> Reroats if shingles 8ewers Service Upgrades AJC Fences{PlotlSurvey/Footage�
<br /> ' DNvewaya-Not over Caunter if an.publ#c raadways..needs ROW
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