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a��asa-aa�o CiYy of Zephyrhill� �"ermit Applicatie� Fax 813-780-0021 <br /> Butlding Qeparfinenf <br /> Gate idec�tvod� � �� �hone C�otaYac4 4�r PeeaceiYtin �1 � - ��� � <br /> �wrner's Fdame � Y l�. Owwn�v�hone R�umfo�P <br /> Own�r°s c�at�r�ss '"7 tS�l.�'�.� l.. �l� j�^ �- �uveser�hon�+Wam��r � � <br /> F�e S�impl�T{glgf�otdep Pf�m� gwnsr�hon�t�ur�rl��r � �� <br /> Fee Simple 7'ttlehoid�r Adc4rsss <br /> JO�AD�R�SS t \ lr'l� ( vl r✓1 C. \,J�` l � � • L.OY a� �� <br /> Sl1BUE!liSIC1S� �...7� ���l,d� Vl(...-1� � ��2CEL 1�# ��1 l!7 � U'�� ���l��.J���"���� <br /> (OBTAINED FRORti PROPERTYYA?C N4TiC�j <br /> �to�o��s���o��t� , e r��nr cor�sT�8 �nDi,�.T �,� siG�v C] � fl�Ma�is� <br /> IhfSTALL REPAIf2 <br /> PRCIP05E�USE Q SFE2 Q CONIM � QTHER <br /> '!'l�P�O�G�R1ST�tUC7'@OiU Q BLOCK " Q FRAiVlE � STEE� Q <br /> �esc�i����o�uvo�c� � 1�f Y` C�[�"� N�l `� I � <br /> �u►���ra����� ����o��,��I��_ ��i�r�� �,.�� <br /> QBUILDING � � upt,UA7tOtV d�TOTAL CONS'1'RIJCTtON <br /> �]ELECTRlCAI. � � AMP SERVIGE Q PROGRESS ENERGY [�] W.R.E.C. <br /> �PLUMBING � ��� —�� � <br /> QnIIECHANICAL $�'� �� VALUATION OF MECHANIGAL INSTALLATtON <br /> L..._,___,,..,_,,._ <br /> OGAS [� RQOFING �] SPECIALTY � OTHER <br /> FINISHED FLOpR ELEVATtONS � FLOOD ZONE ARE,4 QYES (VQ <br /> �U!l.�EFt CCM�klPA�+iY <br /> �IGId�TUR� REGISTERED Y/ N FEE CURREA Y/N <br /> A�dress � License# �� �� <br /> �L�C��ICl�i9�! CCII�iPMtY - <br /> �IG�19AY'4�R� �' REGISTERED Y/ IV ,- FEE CURRE[� Y/P! <br /> �a➢CQY�;�S LiC8t1Se# ��— —� - <br /> ��u�+��� co���wv ��� �1/ � ��r1�� � (�.`��{�'� . <br /> �ilGPit�i'81F�� REGISTERED Y/ N F�e cut�t�n Y/ <br /> Atldr�ss "7�!� '�Y i` �} '�"1�1 License# t �'.�.3��' �� �.J�� <br /> E�1ECq�s4Rl6C�L � GQMP�IY <br /> SIC�sPIAYd,IRE REGISTERED Y./ fV F�E CURREP Y/{V <br /> ��d�s LicanSB# � � <br /> OYN�R ' GQi��AR4Y <br /> �1GR9A'�U�� REGIST�RED Y/ N FEE CURREr Y/h � <br /> �t�P��S LICEnSB s�`r �— �—. � ' <br /> i���1�Ei�TI�L Attacii(2)Piof Plans;{2)sets of Building•Plans;(1)set af Energy�Forms;R-O-W Perinit for ne.�r constrs.�-�, <br /> Minimum ten{10)waricing days after.subrriitta(date. Requlred onslte,Construction Plans,S:ormK�t�Pfars w/S'slt Fence installed, <br /> Sanitary FaaitlEies&4.dumpster Slte Work Ferrnit for subdtvis3nnsltarge projects <br /> COf1AWl�d3C9�l. Attach{3)complete ssfs af Buildirig Plans plus a Life Safety Page;(1)set af Energy Fo�ns.R-0-W Pasnit far nerv construGtion. <br /> PJlinimum ten(10)wotking days after submiktal date. Required onsite,Construction Plans,Statmvrat�r Pians w!Sitt Fence ins#alied, <br /> San3iary FaailiNes&1 dumpster.Site Work Perrnit for afi new projects.Aii commercial requ3reme:�ts must meet compiiance <br /> �lGl��EPd�AI�' Attacti(2)sets of Engtneered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Dir�c4lotr�: � <br /> �ill out applicallon complek�ly. <br /> Owner&Cantractor sign back of appiicatlon,notarized • <br /> 1F oveP$��4Q,��3a4ice og��mm�na��ctent i�recpuiced. {�t�����aa��ovar$'�oa� <br /> '" _��t{4�r tlle contracto�}or Pawer of Attomey(far the owner)woutd be sameone writh notarized letter from awner aathonzing same <br /> } �'_;,-:'�-sc^�s;."�`�,R P�tTTiIVG (Front af Apptication O»ly} - , <br /> � , �;"s'�::�,:x.�. =��.-�s Service Upgrades A/C Fences{PIaUSurveylFoatage) <br /> " �rrw+a��»�_-�r-" '����-.:,�:�s�,s..�=eeds ROW ,- <br /> :�:,� • . .. <br /> < .w�a�':��"',:. . ' . <br /> i,_ .s.•.*#t<, ' ' ' <br /> � ` _.»�- -....__.�...._.�.._ �--�_�_----- --. <br />