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813.780-=O i City of Zephyrhilis Permit Application Fax-81378W21 <br /> Building Department <br /> Date kricahred Phone Comae!for Parinfliftia 5 <br /> m 6 .2- (alert <br /> Omni's"a Owner Owner's Adders D Owner Phone Number <br /> Fee Simple INshold Name Owner Phone Number <br /> ejAddress Fee Simple Tfillahold. <br /> JOB ADDRESS fAlia-�A-ik-S Dif- LOTN —7S& <br /> --j PARCEL 2 Aq SUBDIVISION f—0 0 0 &Q0-0 Q <br /> (013TAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONsTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> W LT( <br /> PROPOSED <br /> B IN <br /> PROPOSED USE SFR COMM OTHER I <br /> I I <br /> TYPE OF CONSTRU ON BLOCK FRAME, STEEL <br /> DESCRIPTION OF W RK InA[C- C.�Aonze o%-f 3--ro 0 IY-SePfz Hf �-kv P45 &1�1:r <br /> BUILDING SIZE 80 FOOTAGE HEIGHT <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> . . . . . . . . . . <br /> r--JELECTRI AMP SERVICE r---j PROGRESS ENERGY W.R.E.C. <br /> 0'C <br /> =PLUMBING Is <br /> IG <br /> =MECHANIC VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =G" = <br /> ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . .. . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREh LXLN J <br /> Address License#F7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURM L_XLN J <br /> Address License 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LXLN J <br /> Address Ucem#F <br /> MECHANICAL COMPANY Ja Se-4W I Ce- <br /> SIGNATURE REGISTERED I Y/N FEE CURREP, I Y/N <br /> Address 1-50/1) A) 009-419 Licensetl I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LXLN J <br /> Address 71 License#F <br /> 1-1 F for now I 1 If'j-1 it1-111*11,1111"11-117,111 11-11-1 i�h Plot P 0-W Permit construction.on, <br /> (2)sets of Building Plans;(1)set of Energy Forms;Rd <br /> wmurn W(1'0)W&MW days-aUr—s-utFmW date:Rigid Wd Pluna-wiSlit Fence Installed;- <br /> nary Facilities A I dumpater:Site Work Permit for subdMalornaftrge,pmfects <br /> COMMERCIAL (3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> inhurn ton(10)workbV days otter submittal data. Required onsite,Construction Plans,Stormwelar Plans wl SIR Fence Installed, <br /> Itary Facilities&I dumpster.Site Work Permit for all now profects.All commercial requirements must meet compliance <br /> Its <br /> SIGN PERMIT (2)sets of Engineered Plans. <br /> ROPERTY SURVEY required for all NEW construction, <br /> ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> fill out spIplical 3n completely. <br /> Owner&Conti otort sign back of application,notarized <br /> N over*2111119, NoScrial'Commencement isrequtiod. (AIC upgrades aver$7500) <br /> Agent(for the Ontractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNT!R PERMITTING (Front of Application Only) <br /> Retools If shingles Soviets SwAoo Upgrades AIC Fenzoo(Plot/Surviry/Foatage) <br /> Orhiewrys-No over Counter N on public roadways-needs ROW <br />