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513-780-0020 City of Zephyrnills Permit Application rax ass-rau-uuc-i
<br /> Building Department
<br /> Date Received phone Cbntacffor-Permltting
<br /> Owner's Name Q 0 Owner Phone Number
<br /> Owner's Address Owner Phone Number'.
<br /> Fee Simple Titleholder'Name" Owner-Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 3r r1 r�i I I S Y Z LOT# C�
<br /> SUBDIVISION PARCEL-•ID#:
<br /> (OBTAINED FROM P.ROPERTY.SAX NOTICE) "
<br /> WORK PROPOSED NEW CONSTR' ADl)/ALT Q SIGN 0' 0 DEMOLISH "
<br /> INSTALL 8:: °REPAIR
<br /> PROPOSED;USE. Q SFR Q -COMM: 0' OTHER ''
<br /> TyptokONSTAUCTION.. 0 BLOCK ] `FRAME 0' STEEL Q.
<br /> DESCRIPTION Og-WORK YGdQr ^CQ. �OU alb
<br /> BUIL`DiNGiSIZE SQ'FOOTAGE HEIGHT
<br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
<br /> �ECTRICAL $ ' 500 AMP SERVICE = PROGRESS ENERGY Q -W.R.E.C.
<br /> . r
<br /> =PLUMBING $ ✓ �.{<'E
<br /> =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATIQN -
<br /> =,GAS 0 ROOFING 0,. SPECIALTY. = OTHER-
<br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
<br /> .:BUILDER; COMPANY
<br /> SIGNATURE REGISTERED Y''/ N., .''; FEE:CURREt, '
<br /> Address --License;#' .-'
<br /> D�v\df� IeKnc-
<br /> ".; :ELECTRICIAN: ; . COIIAPANY r T S$ , t'
<br /> SIGNATtRE REGISTERED Y/ N . 'FEEidURREn Y/N. J .
<br /> Address' y �%� KGt I 33 (� License#.. E 0 0 0 5 l
<br /> PLUM BER:• 'COMPANY::, -.
<br /> -SIGNATURE 'REGISTERED Y -W % , a :FEECuRREh.- Y/-N,
<br /> Address. License
<br /> `; AAECHANI"AI: :.COAAPAPIX
<br /> "SIGNATURE',-" REGISTERED Y/ N FEE;CURREP Y./,N
<br /> AddFAIk5s License.#
<br /> �?COMPANY _ -
<br /> :SIGNATURE rs ,- REGISTERED Y'/.N FEE CURREK Y/N
<br /> Address;,;,.:., >,,+�T...,::T,. :f�.,: License`#K.r .;;:
<br /> !�� nyM:.-'4:;-A'�.' :M,p.�,3; T�.r,r'..t._:e..''•,4e'i� .."S':. if .. '
<br /> R SbIENT1AL^<- .Atta" 2'Plot Plans:ry2'=setssof Buil%iln/�`hlaris•''1<1 set of Ene/�/FQ'rms R 0=V1LPerm1L rnew:construction
<br /> _ ... (v-).�-... .9 1( /_ •.77,,."•_ .Tt'a is�.i:'.::['Ya•¢: -'.L-;:I?1[::t;.... `I-.-j
<br /> :Miriimu ten°1 Q•inw'• (n S:aftel^�utim ital:date;Re wired onsi)e�Contru'ctlon Plans":Sto[inwater'Flans w/SbtFence:.installed
<br /> Sanity= °Facilities—P,rp ump ste f iSi Y's'Work P.,erm t,forsubd visiopslla:-a '
<br /> .'f n, -1.lJ:Y':=-".w•..y)f�9:�....r� .`. .nr'..'ts'r[t¢:w - :e.•alAti:..,;:iYlt':.
<br /> set of Energy_Forms.R-O-W iWf111SRCIAL—Attacti3(2)compute sets of°Building Pans plus a Life`Safety Page;(1 Permit for new constructionr
<br /> Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/-Silt-Fenceinstalled,--
<br /> Sanita: Facilities&1 dum ster Site Wo Pe .
<br /> '� SiGN.`•PEitAIIIT `Atta"cli�)'sets�aE�lgl.'neered�Flans:�;.,,;�;y,, it�for�ll.new%projects:All commercial requirements.mustrneet compliance
<br /> ""PROPERTY SURVEY requlred_fgr,.aII,NE,W_construction—,
<br /> Flli out'application.completely.
<br /> Owner:&Contra�toc'sign-back of.application,notarized
<br /> "A -if:over:$2500i.aNdtita.-of;Commencoment Is required. (AIC upgrades over$7500)
<br /> lid:rii,-�t�:.-?i(+t:.:,: i,�•-...-:':-•. .- ..
<br /> ,: gent(fo'r'the coiitractgr){or Polder•ofAttoritey-(for'the'oWner)woulflie someone with notarized.letter from owner authorizing same
<br /> r:•; .. _ -
<br /> ''_ 01IERz:THE=:COUNTER PERIMITTING.:,:,._•.:.(coPY ofpcontract~required),--' "=`
<br /> Reroofs-ifstiingles -Sewers• Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter iron'public ioadways::needs;RQW-:-,
<br />
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