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r-- -- ____ _ <br /> i <br /> I 813780-0020 Ci#y of Zephyfiills Permi#Application Fax-8�3'�80-tl�2� , <br /> BuiEd'ing nepartment <br /> Gabe Receired Phorte CoeNact for Permitti�x9 ( D��) ��2— ��'L J <br /> Owrter"s Name ��°9 i.' /Y]L31^1 Owner Phane Number G?l�"' ����id <br /> 6�raers Address <br /> 1 ✓ f��� �f}/1��) ....�� �� Owner Phane Number �!� <br /> � Fee SfmpSe 7ctlehoiderllame � � Owrter Phone Number � � <br /> Fee Slmple Titleholder Address <br /> JOB ADt]RESS G., l� rJ�' I'� l't 10 �LOT# E� <br /> , � 5����s�� I� �� p„���� 3� �5 a �9� aza�v � <br /> (OHTA(NED FROM PROPERTY TAX NOTICEj <br /> WORN PROPOSED e NEW c.oNmi� ADDlALT � SIGN Q Q DEMOLISH <br /> IhtSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE QF CONSTRUCTION [� BLOCK Q FRAME �] STEEL Q <br /> DESCF21PTiON OF WORK GJS� G� P�G+LL D7�I `��IZ BlVC?/� <br /> BtfiLD1NG SlZE �� SQ FOOTAGE HEIGHT C�� <br /> QBUILDING �o� YALUATl4NOF70TA�CQNSTRUCTlON <br /> ' QELEC7WCAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> „....,, �� <br /> QPLUMBING �� � � <br /> [YSECNANtCAL $ �* J wf 1.,-� L} V1tt.UAT10N QF MECHANIGAL fNSTALLATfOid �� <br /> .,� I IX �.l <br /> i QGAS Q ROOFlNG Q SPECIAI.TY� OTHER <br /> FINtSHED FLOOR E!�/Al'iONS �� FLOOD ZONE AREA QYES NO <br /> BUILflER � � COMPANY � <br /> SIGNATURE � ��isr�tm Y/ N FEE CURRE� Y/N <br /> Address License#i � <br /> EIECSRlCiAt+i � � COMPANY � � <br /> SIGNATURE rx�ai5lERm Y/N �cuaREn Y/N <br />, Addtess LicBnse#�! � <br /> PWMBER � COMpANY ,�_� <br /> SlGNA711RE � � RE6lS�zm Y/N �E cUAREn�_Y/N <br /> pddress � License# �� <br /> MECHAN[C �" 1�n„�p a COMPAH'l I.t1/7�TG S G`DJ���� ` 1�-�� �'�—1 V� <br /> SIGNATURE �"1VOf�/�'""C� REQIS7ERED Y J N r�e cuRREn Y I N <br /> naa� � �/ � �l�it�6 u�r,�n C��'�'.���'�� <br /> oniEa � � COMPANY � I <br /> SiGNATURE REGISTERm Y/ N �cuRREn Y/N <br /> pddress License#�_ � <br /> 111111111111 / 1111111 / 1111111111tllllllllllllllllllllllllllllllt1111 <br /> RESTDEfiiTtlW Attach{Z)Plot Pians;(2}sets af BuiEding Ptans;{1}se#of Eneigy Forms;R-O-W Pemrit for new consirudsan, <br /> N6nimum ten(10)worldng days after submittal date. Required onsite.Construction Plans,Stortnwater Plans wi Siit Fence instaited, <br /> Sanitary Faciiitias&1 dumpster,Site Work Permi[for sutrdrvisions/large projects <br /> C4MMERGIAL Attach{2)compiete set�of Bu"s�ng Plans ptus a Life Safety Page;{7)set of Energy Forms.R-(7-W Persnft for new construction. <br /> M'smmum fen(10}xvridng days after submittal date. Req�ired�site.Consfttictian Pians,Stormwater Plans w1 Siii Fence instalted, <br /> Sanitery Fadl'�ies 81 dumpster.Site Work Permft for all new projects.All commeraal requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Ptans. <br /> ""PROPERiY SURYEY tequired for ail NEW corssWdion. <br /> � � • � • • � Y + � � f � � • � f � • � M t � e • • � � • • � � � t � � � � • e � � i..i l-Li__� e � <br /> Directions: <br /> FII out application completely. <br /> t)wner 8 Cotitraacior sign back af agp(icadfon.notat¢¢ed <br /> tf over"i2S1YQ,a�NaYice bf Canmencement.is required. (AIC upgrades over 57508j , <br /> " Ager�tt(for the�corrttactor)'or Power of Attamey(fbt tlie owner)would ba someone with notarized lettel'from owner authorizing same �� '�' <br /> OVER TtiE COUti7�R PERMtTiiNG {exipy af.amtrad required} ' <br /> ReroMs iLshingles S�wers Service Upgrades A/C Fences(PtoUSurvey/Footage) <br /> , i <br /> Driveways-Not over Caunter if an putrlic toadways..needs ROW � <br /> .. ,. .. .� r ..,v <br />