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e13�ao-oo2o+ City of Zephyrhilis Permit:Application R Fax-813T80.8021 - <br /> Building Departrnent <br /> ` Date Recehrod Phone Contact for PermMtln Ts 9(c)7- _ o2 Y7 J+ a <br /> Ownses Name Tt�l C} t /` -y Owner Phone Number �27-li f l¢ <br /> Ow .e.Address 1 , Owner Phone Number <br /> FN Simpfe TBleholde Name Owner Phone Number <br /> Fee Simple TWeholds Address <br /> IE <br /> JOB ADDRESS t 1 t 4347, 5794 e"T LOT# <br /> SUBDIVISION Czt PARCEL ID# II";4w I r IOC Q}Qy00 .�►ip <br /> (oBTxnED FROM FROPERMAX MMCEi <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRU ON = BLOCK Q FRAME 0 STEEL = ---� <br /> DEScianoN OF RK C c_ �tt�� {�. o%.*- YSeex- G <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING is —� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIC L <br /> 1$ AMP SERVICE Q PROGRESS ENERGY [= W.R.E.C. <br /> =PLUMBING s � <br /> MECHANIC S CCU-7 "� VALUATION OF MECHANICAL INSTALLATION <br /> =3GAs 0 ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR E ATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED -Y/N I FEE CURREn LyjN <br /> Address License#E <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CUR'M Y�1 N J <br /> Address License# ( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRET LXLN <br /> Address ucensa#1 y <br /> MECHANICAL COMPANY E e gW►-e S <br /> SIGNATURE REGISTERED I Y/N FEE CURB . I Y/N <br /> Address 1 Q Ave, license# CiAC P( & F l q <br /> OTHER. COMPANY <br /> —SIGNATURE REGISTERED I Y/N FEE CU(RRETN„Y/N <br /> Address License# <br /> 1"IT'T7 T'T-T i '17-17 i 1il TT7 1 i-1 I'll T 7 17TT'17"T UT'1 T-1'T T7 YT7'1 T <br /> RESIDENTIAL ch(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction, <br /> ._---klWnhl—m—um fan(10}xoriitnp Jaya aReisubml l dsEe:RegnFredoitsttb;Conehiib1fan-Pla-W&o:iriwates -wJSIR Fence Instatted:- <br /> FadiRies d 1 dumpeter,SRe Work PermR for 6ubdtviatormMrge projeete <br /> COMMERCIAL3)complete sots of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> ten(10)working days aversubmittal date. Required onsite,Conabuction Plans,Stormwater Plans w/Slit Fence insiaTled, <br /> Facilities E1 dumpster.SiteWork Permitfor all now projects.All commerdai requirements must mast compliance <br /> SiGN PERMIT )aete of Engineered Plans. <br /> PERTY SURVEY required for all NEW construction. <br /> Fill out:g completely. <br /> Owner 8 der sign back of appgcallon,notarized <br /> Hover t50D, Notice of Commen"ment la required. (!NC upgradss over S7W9) <br /> Agent((or <br /> the tractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same <br /> OVER THE CO <br /> U R PERMITTING (Front of Application Only) <br /> Reroofs ff shingles Sewers Service Upgrades AFC Fences(Ptot/Survay/Footoge) <br /> Drivoways-No over Counter N on public roadways..neads ROW <br />