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I '.' I C.0 v -1 <br /> 813-780-0020 City of Zephyrhilis Permit Application Fax-813-78W21 <br /> Building Department <br /> Date R.;-I-d 1—1, 1—IS Phone Contact for Permittine IRS 1630 9 q q-Z <br /> 5.1 r. m -315 <br /> Owners Name, . . .Own: Phone Nu'., 613 d('"] <br /> Owner'&Address Owner Phone Number <br /> Pat Simple Tilleholds Name Owner Phone Number <br /> sm.Fee Simple TitlehaTideAddrus <br /> JOB ADDRESS A30-sSWOOCK LOT# <br /> SUBDIVISION PARCEL IEW 042-Z(?'a f COS'—COZZ <br /> (09TARM FROM PROIbERTYTAX*once) <br /> WORK PROPOSED NEW CONS. ADDIALT = SIGN r7 r7 DEMOLISH <br /> NEW <br /> R INSTALL Lj REPAIR <br /> PROPOSED USE SFR COMM r-1 OTHER I D4 <br /> TYPE OF CONSTRU N BIWA FRAME STEEL <br /> DESCRIPTION OF;WRK IINIC-C�A\-XP oLA- c27Z)J /VS--ex-S/C- <br /> BUILDING SIZE 80 FOOTAGE HEIGHT <br /> =BUILDING CS VALUATION OF TOTAL CONSTRUCTION <br /> . . . . . . . . . . . . . . . . . . . ... . . . . * * . . . . . . <br /> =ELECTRI 1$ AMP SERVICE = PROGRESS ENERGY Q W.P.E.C. <br /> =PLUMBING Is <br /> =MECHANII 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GM r7 1 ROOFING SPECIALTY r--j OTHER <br /> FINISHED FLOOR AmDNS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I YIN <br /> Address LIMM# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURDS �N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREh <br /> Address I License#r <br /> MECHANICAL COMPANY &Q aAAI- <br /> Ote <br /> SIGNATURE REGISTERED I YIN FEE CURREK I Y/N <br /> Address License#OTHER: COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREK LXLN J <br /> Add. <br /> Ff I "I'I'F 1--ir T-1 1 1--1-11 x 1.1 1 1-1 1-1-UT.vul 1-y 1 1-1 1 1 11-1-1-1'RESIDENMAL Plot Plan;(2)sets of Building Plans;(1)set of Energy Forms,R-O-W Parmll for now construction, <br /> InTmum taxi(iOyw—orfdWdiW—WWgubfnitW-dW.—RiiFpUW*—We—.C&ftVcffffPWWSWmffttvP1ans%W Silt Fancelmnalled. <br /> MW Facilities 31 dumpster,Site Work Permit for subdMalonallerge projects <br /> COMMERCIAL (3)complete sets of Building Plans plus a Ufa Sefety Page;(1)SO of Energy Forms.R-O-W Permit for new construction. <br /> Inimurn ton(10)worft days after Submittal date. Required onsits,Construction Plans,StornywaW Plans wl SIR Fence Installed, <br /> . Facilities&I dumpstar.Site Work Permit for all now projects.All commercial naquiremerft must meet compliance <br /> SIGN PERMrr (2)sets of Engineered Plans. <br /> San <br /> 'Mum <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . <br /> tri»eg <br /> fill: ctor sign back of application,notarized <br /> �-= co-pletely. <br /> Nbvw$2U% Nodes afCorransavernantlarequired. (AfC upgrades avor$7500) <br /> Agent(for the tractor)or Power of Attorney(for the owner)would be someone with notarized totter from owner authorizing same <br /> OVER THE COU PERMRMNG (Front of Application Only) <br /> Rare*N shingles Sewers Service Upgrades AIC Font"(PlottSurvay1frootege) <br /> Dthraways-No over Counter If on public roadways-needs ROW <br />