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\ _' " _ _ _ ' <br /> 813-780-OU24 City of ZephyrhiAs Pe�mit Application � FaX ai�-�saooz�� ,� <br /> Bu!lding Department <br /> Date Received � �y �0 `2�"7 � `�,�=�� �� � <br /> �. .ri�� �� Phane-Contact far Permtttln � <br /> pwner's Name ` (�i1 �l. �-F!S Owner Phone Number ������1�„�� <br /> 4wner's Address ! � � . 'P �t1 e Ownar Phone NumBer r� � <br /> Fae S4mpte Tltteholder Name � � Owrter Phane Number � � <br /> Fee Simple Ttttehaider Address <br /> JOB ADDRESS � �� l�' I,lF G�,.. LOT# �� �� <br /> SUBDIVISIdN � � PARCEL ID# ��"C "�'���~`� s'`� �1�p �i�` ���OQ `�8� �(� <br /> (pBTAINEp FROM PROPEttTY TAJC NOTICE) <br /> WORiC PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> � e. INSTAR.L 8 REPAIR <br /> PR4POSED:USE Q SFf2 � COMM ['!� C?THER <br /> 'FYPE 4F GONSTRUC7lON Q Bi.qCK ' C] FRAME � STEEl. Q <br /> DESCRIPTION OF WORK U� e-�� �Q-s���"►"' �(1�.. -k"o � <br /> BUILDING S12E �� � SQ FOOTAGE�� HEIGHT C <br /> �������Nr`' $�� "�"� �V�i,,� VALUATION�OF 1'O'1'AL CONS1`RUOTION � <br /> QE�ECTRt�Ai. f 6 ��-� AMP SERVICE Q PROCyRESS ENERGY [� W.R.E.C. <br /> L `�� � <br /> C]PLUMSlNG $ � �L <br /> � q� <br /> ° � ���J�-�' r� <br /> QMECHANlCAL $ YALUATlON QF MEGHANICAL INSTAI.LATIOiV � � �t f_ '��� <br /> . �1,� � <br /> OGAS Q ROOFING Q SPEClALTY � OTHER ��� ' � �3�� <br /> FlNISNEQ FLOaR ELEVAT{QN� FLOaQ ZONE mR�A QYES ND � �Z <br /> 5 <br /> BUt�DER ` � .�,��, (f , J j � �� � ��COMPANY� P ��S"�tf'�_�� �L'u'tl t; <br /> SIGNATURE « r� Y b REC�ESTERED / It! FEE GURREh Y i N <br /> Addre License# ����— � �,Z 5—.$��S <br /> ELECIRfCFAt� -,C./1 � ^ �� �. COMPAtr1YY <br /> A <br /> SIGNATURE � C•J RE�lSTEREU Y( N FEE CtlRREE ' Y I�) <br /> Address � License# <br /> P�UMBER -�-.�.�7 .� � �� ���` � CClMP.J4�IY <br /> $IGNATURE REG(STERED Y 1 N FEE GURREP Y!N <br /> Address License# � � <br /> MEGHANlGAL ��a gp ����� � • CC1MPAt�lY ' <br /> SrGNATURE ✓� � REG�STERED Y� N . FE�CURREA Y/N <br /> Address License# � 1 <br /> OTH�R ,COMPANY <br /> SIGNATURE � REGIST�RED Y/ N_. FEE cuttREn Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Flot Flans;(2)seks-of�8tiil'ding Pians;(!)set of Energy�Focros;R-O-W Permit for new consWcUon, <br /> Min(mum.terr(10)working;:days.after,submittal date. Requlred onsite,Constiuotion Plans;Stonnwater"Plans w/SUt Fence installed, <br /> Sanitary FacOities.8:1.,dumpste_r,Site Warlo.Rertnit far subdivisians�arge projec#s <br /> COfVlM�RGl,AL Attach t3)complete sets of Bufttliiig Plans plus a lits Safety Page;{7}set af Energy Foans.ft O-W Permit for new construc�#ion. _ _ <br /> Minfmum ten(10)wodcing days after submlkkal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster.Site Work Permit far all new projeats.Ail commerciai requirements must meet compitance � <br /> SIGN PERMIT Attacti{2)sets af Engineered Plans. . <br /> "••PROPER7Y SURVEY required fnr all NEW constructlon. <br /> Diracttons: ' � <br /> Fill out applicatlan completely. <br /> Qwner&Contractor sign back af applfcatlon,natarized � <br /> !f aver�25b0,a Notice of Commencement i�requirad. (A/C upgrades over�T500} ; <br /> '* agent{for ttle contractor)or Power of Attorttey(Far the awner)wauld be sameone with notarized lettet from owner authorizing same <br /> OVEt2 THE COUNTER PERMI'FTiNG (Front of Apptication Oniy} <br /> Reroofs it shingles Sewers Service Upgrades A!G Fences(Plot(Survey/Footage} <br /> DNveways-Not aver Counter if on pubtic roadways..naeds F20W <br /> � <br /> . . <br />