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813-780.0020 City of Zephyrhilis Permit.Application Fax a13aeo-0021
<br /> Building Department
<br /> Date Received: Its-9
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<br /> • ;-.PhondC6iifacffoi��pori�ittin�" $12v',° `q 1 I
<br /> .::. -Owner'sName �CU`nk�.2 �m�Mb1'15.. owner..f'hone.Number., '_.. .
<br /> Owner's'Atldress t J 5'0 '13-kh.Sk:Z2OwneFPhone Nu:ritier.'
<br /> Fee Slmpla'CltlohoidarNameOwns` Phorw:NW hbar
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<br /> Fee Simple Titlshofdor
<br /> P1777 .
<br /> Address..:JOB-ADDRESS S�CJO 13�h �. Ze h rh�I1S, fI, 335�Z LOTS
<br /> SUBDIVISION' . .. . .. . ..... 7_� _. ..... 1 OCII°Q.. 3�U(�:::;.:p.;:��::
<br /> ARC .;fast EttfSY:PRb ERTYTWOTIC6f--: :s�-'.:i':'�;<::;-:.,
<br /> WORK PROPOSED ... NEW CONSTR ..,_,:s..:.:AODIALfi', `:;C ..._. . •::: ..:::DEMOLISH,
<br /> : .. NST/�LL -
<br /> PROPOSED>USE4-
<br /> TYPE OF CONSTrtUCTiON; STEEL
<br /> DESCRIPTION OF WORK:: nS}Ol��.:: � eilel05ayt; iTT2Y....e)(i S1crl .:.`Nil t G► ^ ,Y 2n
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<br /> 41
<br /> BUILDING 81ZE: 8Q FOOTAGIE :. �. � . HEIGHT .
<br /> BUILDING ..0
<br /> VALUATIONF'tO'rAt:`GONSTRI�CTION '
<br /> Q ELECTRICAL.::;. $::' >::.:;:: ,:. : •>::.>: ; ";AMP SERVICE :[ PROGRESS ENERGY ' .'. '" W:R:E.C:PLO WING
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<br /> 1:2 44$6��
<br /> MECHANICAL:.,.:.. :: ".,$-::._ V
<br /> 0 ALUATIONOF°MECHANIGALIN5TALLATtON::,.,.::.
<br /> :.;.ROOF,:iNG:.h[ SPECIALTY:[ _. .OTHER:
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
<br /> coMPANY= :
<br /> BUILDER ..,
<br /> SIGNATURE .V
<br /> REGISTERED Y/ N ME CURREIN '::; Y::/N:: ':`'.
<br /> Address SOX /01 ern. a � ...._
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<br /> SIGNATURE COMAO
<br /> REGISTERED I Y/ N I FEECURREN=
<br /> Address :.
<br /> PLUMBERRAW
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<br /> Address �. ............ . . _...:
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<br /> . � y,.,• :.; -'.• "3�zlr�:'�"a�.:-..., ;:_..:;:-;. let! - -- -.-. - ..
<br /> RE$IDENTiAL;: AAttech,(2);PlcPians;(2)ysets of}QWlBCnprAlans;,�l�setof.'.Energy> ortnai R-O W Perr�Itfar�nyyotisuctCon, _; _ }. _.:.
<br /> Mlnlrt�un,4 UM(a10),yrotldr�g Lays alter sub nittat"date:=Requlrer!onsite;`Conetruatior►�Ptans,Stonnwater t?laasw/Sftt,Fence fnafalled,
<br /> Sarilt®ry fiadJitle si�dC� �Bt .3tQe�W,d rJ!tW _t,�uticii�jSlMi9llecge
<br /> COMMERCIAL Attach(3)-compteWeeits bf`Bu Aft
<br /> plus e'!LTfe�Safety Page;(1)set of Energy Forms.R-O-W Permit for new ddnslrucUon:'
<br /> Minimum ten('10).working days i6r submittal-date. Required_onsite,.Construction Plane,Stormwater Plans w/SULFence installed,..-.
<br /> Sanitary.:Facll(Oes&i,dumpster.Site Work.Pennit,for.sll naVu projects 1SII commercial requirementsmuet meet,compllence
<br /> $IGN PERMIT ;
<br /> Attadh`(2ydWfi dreftg')�ee�e��Plens�-,
<br /> •"'PROI?ERTY:SURVEY�/�uired I:'N oonattu ort:
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<br /> £•tu.sr3.. ,. ,...,-�-.
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<br /> Diraations: w,_.:.....,.._. . .. ............:. . . ... _... .. ... :
<br /> 'Fill.out_appllcation completely.
<br /> 'Phhee&.Contractor sign:.bacit-of.applicallon,notarized
<br /> If o4ei-: 600,:a,NotterafCommanaem®nt is roqulred: (A!C upBradea ovor.STa00)
<br /> Agent(for ei con r)10r:Poviier cfAttoiiiey(for iWowner)would be someon®;with notarized letter from owner authorizing same
<br /> OVER THE;COUNTER=PERt liT17NC =::=" ' (Froh#`ofApphdeam Onlyj j
<br /> %roofs-if shingles sewers. Service Upgrades,A/C Fences_(PlotlSuryeylFootaBe)
<br /> Drigeways-Not over Counter if on public rmdways..needa ROW
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