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813-7804020 City of Zaphyrtfdls Permit Application <br /> sulkling Department <br /> Date Recdved Phone Contact for Permw F <br /> T;C3.jPM - <br /> ow"IrpliltunNuniber 613. <br /> O;eneft Mdmm tth (�;F <br /> Fee simple Twoholder Uwe NA Own"Ph Bie N.14. 70 <br /> Fee Simple T"older Address I n Ic" <br /> JORADDRESS Lora E <br /> SUBOPASION, PARC01 F t (a 75 1-604R) <br /> 40911AMIFROMMOPEWTAXWOMCA <br /> WORKPROPOM rawcoNmE] ADDIALT r SIGN M OWOUSH <br /> R INSTALL REPAIR <br /> PROPOSWUSE = SFR COW OTHER 1 <br /> TYPE OF cons cnom Q 13LOW Q FRAME STEEL <br /> DESCRIPTION Of WOM a <br /> BUILDING Sm I I SQ FOOTAGE J HEIGHT <br /> ... . .. .... . . .. . . . .. . <br /> I$- VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL 6 AMP SERVICE PROGRESS ENERGY Q W R.E.C. <br /> 7-1PLUMBING 1$ <br /> f--7MECHWCAL 1$ VALLIA71ON OF MECHANICAL INSTALLATION <br /> [—]GAS ROOFING Q SPECIALTY OTHER <br /> FMHW FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -111-16-1444WI414 <br /> BUILDER COMPANY IVOIK W)rfing'i 7 <br /> SIGNATURE REDI(v N FEMMIM I%MN <br /> Address 121gs =or -Rom I UGMM#J6ff,'�j8&L0q2UJ <br /> COMPANY <br /> $10MATURE I YIN PEE cufwta I YIN <br /> License.# 7 <br /> PLUMBER COMPANY <br /> SIGNATURE REgtBTEREb YIN MECvWqB L.11N J <br /> Address License# 7- <br /> MECHANICAL COWMY <br /> SIGNATURE REGISTERED I YIN FgECURREb I <br /> Address LIcerme 41 7 <br /> OTIMP. L COMPANY L-Nv, <br /> SIGNATURE RMISTERW I YIN teEcummp, ULN-i <br /> Addirvin J Licansew 7 <br /> RIODENTIAL Aftch(!g Plot Plans;Msetas or Building Plans:(1)setor EnwW Farms;R-O-W Pennit for new constiulu, <br /> Minimum W(10)woffling days after submittal date.Required crugto,Construction Plaru,Slawwwater Pima wl Silt Fence Instelfed. <br /> Slattery Facilities&1 dumpsiv-,afteWork Permit <br /> GOMMOt" A=.MgWct=-f0uZd1A9 Plane pkm.Lffak gefstyP09W(tT tit or Energy Forme I2.O.W Perm$Tar new t76rtaVactiari. <br /> (10) gdapoftersubmIltaldate, RequIredchwits,Cansbucdon Piarts,Stamwater Plans wJ Sill Pence Installed, <br /> Sadiuy Facilities a I durripstar.Site Work Permit for W1 now pr4ach.Ali commercial requirements must meet complifanoa <br /> SIGN PIMMtT Attach(2)sets ofEngtricered Plana <br /> "PROPERTY SURVEY RK111redforaff Nhv conouctlon. <br /> ft . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . .. <br /> Fill out application corriplately. <br /> Owner&Contraclorskit bad:crapplica*m.noleftad <br /> hover$Moo.*Notice orCornmencemem:Is required. (Art upgrades over SM) <br /> Agent(rarft axaft=)or Power afAttorney(for the owmarl wwjld be someone vft noWeed Werfrarn amiersuffuififtiI same <br /> OYM THE COURIER PERMITTING (copy of contract retidred) <br /> Refooloffshingles Sawars ' gervicaUpgrades AM Fenoss(PIoV5urvayFbo4Va) <br /> Oftewnp-Ndt ow Counter it on public roadweys-twoft ROW <br />