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813-780-0020 City of Zephyrhille Permit Application Fa"13•780-0021 <br /> Date Received 1 Z' Phone Contact foi Permitting <br /> iT7-f'Ti'1 fT f'T <br /> Ownefk Name r� LL G. <c{C Owner Phone Number <br /> r's Owne Address / Z I,11 d 1 L /�1 Oamer Phone Ntnnber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 J �] <br /> JOB ADDRESS 5 V Q/l) IJI G h! r' 3 3 S"/ LOT# <br /> SUBDMSPON PARCEL 109 10 (i1Ci 21-00 ZJ 00001 —01 CO <br /> (oaTAtNEO FROM PROFERTII Twit MOtrcE! <br /> WORK PROPOSED e NEW GOttSTR 8 ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COW = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK p . FRAM .. Q, STEEL = <br /> DescR>PnoN of WORK n 5TA dne, 11 JM;/7Q K/a 1 S i). vn tO74- el tval I awl <br /> t3UtLDtIiG 512E b b� SQ FOOTAGE MgHE,GNT <br /> =BUILDING S 000 VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> =FLECTRICJAL S 10 AMP SERVICE = PROGRESS ENERGY = W.R.F.(C. / <br /> =PLUMBING s /' ? <br /> =MECHANICAL S VALUATION OF IIAECHAMCAL INSTALLATION v <br /> =GAS '= ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER �-y COMPANY I O i /1 Jcl'V L GI° <br /> SIGNATURE CCfl REc)RSTERFO Y N xu�FEE c Y/N <br /> Address j fi o vfe Gi ll Lieensa# S7,050 '335 <br /> ELECTRICIAN ��-- COMPANY i cryice, <br /> SIGNATURE REGSTEREo I yyy N FEE CURFtFJ <br /> Address r e4ley CJX <br /> eel License# i IV w3o <br /> PLUMBER COMPANY <br /> SIGNATURE W.;GIS FRED YIN FEECURRER, LILN_j <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE MAV&:n Y/N <br /> Address Liow"# <br /> OTHER COMPANY <br /> SIGNATURE REGi§TERSD I YIN I FEECURRE1, I Y I N <br /> Its License# <br /> eeeeefeeefee >ie�� eteoeeeeeeeeeeeeeeeeeeeeefeeeeeteeeeaeeeefeeeeeeefe <br /> RESIDENTIAL Attach(2)Plot Plants;(2)sets of Building Pima;(1)set of Energy Forms;R-O-W Permit for new eoirstructim, <br /> Mldmtmt leaf(10).Working days after�bmitud date. Req*ed onsite,Cotrstniction Plans,Stannwater Pure wl Sit Farm installed, <br /> Saritisry Fac lit.&1 dumpster,Site Work Permit for sd4visionsllarge projects <br /> COMMERCIAL Attach(3)comptete sets of Buldtng Puns ptus a Life Safety Pegs;(1)cat of Energy Forms R-O-W Permit for new won. <br /> Pl r*nu n ten(10)workltg days after wjbmitW date. Required oneke,Cmfsbudion Plans,Stannvater Plans wf Silt Fence Installed, <br /> :SaNfery Facilities&1 dunipster.Site Work Permit for all row projects.All commercial requirements must meet ow0ance <br /> SIGN PERi;9LT Attach(2)sets of Engmeersd Plans. - <br /> "'WOPERTY SURVEY req*ed for all NEW conduction. <br /> Dlndlons: - - <br /> F31 out application tompW*. <br /> Owner ContractorsigTf book of app6wtion,notarized <br /> if oinr 52300,a NoMea of is reeutmd. (AfC upgrades over WOO) <br /> Agent(far the contractor)or Power of Attomey(for the owner)would be someone with notarzed letter from owner authorWrig same <br /> OVER THE COUNTER PERMMING (Fran o(Apptkadon Orly) <br /> Rerocfs If shing4as Sey±ars Service Upgrades A/C Fences(PtoVSurvoylFootaga) <br /> DHvi*W&-Not over Cowft if on public roadways-needs ROW <br />