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$13-780-0020 City of Zephyrhilis Permit Application Fax-813-78W21 <br /> Building Department <br /> Daft Relcohred <br /> Phone Contact for ParmIlIting FA3 I <br /> - - - - - - <br /> ichoaaes,Name GCL&1A V-p -17 4a a V,lz,T Owner Phm Number <br /> ownses Add.13�';14 9+'- lonfe— Owner Phono Number <br /> Fee Simple TWaholda Name Owner Phone Number <br /> Name <br /> Fee Simple TWoholde Addms* Fl <br /> JOB ADDRESS -2- Owe- 12 LOT# <br /> SUBDIVISION 54,Nis PARCEL IDMI(O-24-11 -0DVQ,6-a-36V-00,5 <br /> (OBTAINED FROM PROPER TYMNOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER I <br /> TYPE CFICCNSMMTRU 7ONM BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF W RK c- <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> r—IBUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTMPJC AMP SERVICE Q PROGRESS ENERGY = WFLE.C. <br /> r—IPLUMBING <br /> [==]MECHANI 1$ VALUATION OF MECHANICAL INSTALLATION <br /> [-_-]GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD ZONE AREA =YES NO <br /> GUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURM LILN J <br /> Address License#F- <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURREh L2LN J <br /> Addrm License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED .1 Y/ N FEE CURREK LZIN J <br /> Address Ucense#F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE cuNREK I Y/N <br /> Address A-n(0 0 CZAACS License#1 <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREh L ZLN j <br /> Address; License# <br /> IF 1-9 1-1 1.1 IF 1 -1-1-1-11-1 1 1-1-1-I I-'I'f 11"I"ll-FT I'll 111-11-11 F 1111 1 1111 1-I I'll I 1 1-1*1*711-1 1-T I I I I IF I-I'" I 1 111-1`111' <br /> RESIDENTIAL Joh(2)plot Plans;(2)sets of BuRding Plans;(1)set of Energy Forms,R-O-W Permit for now construction, <br /> Intmum t--(10)V-MW days&tif-iu-b7mlM-ditei.-RWuVW&WWC&*ftEffWPI6W,St6mrkaWPIons-col SRI Fonts Installed <br /> nary Faclittles 61 clumpater,Site Work Permit for subdiMsionoftrigo projects <br /> COMMERCIAL (3)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> n1murn ten(10)worIft dap ofterGubmittel date. Required onsb,Construction Plans,Stormwater Plane wl Silt Fence Instefied, <br /> Facurdes&I clumpater.Site Work Permit for all now projects.All commercial requiremorda must meet compliance <br /> SIGN P (2)sets of Engineered Plans. <br /> ROPERTY SURVEY required for all NEW construction. <br /> . . ... . . . . . . . . . . . <br /> Fill 0 PU Completely. <br /> C) 4 <br /> n ct <br /> W.L�VcW sign back of application,notarized <br /> If a 500, Notice of Commencement Is r*quked. (AIC upgrades over$7Wq) <br /> Agent(rorthe tractor)or Power of Attorney(for the owner)would be someone with Rolartned letter from owner authortTing same <br /> OVIERTHECO R PERNirmwe (Front of Application Only) <br /> Ramoft N shingles Sewers Service Upgrades A/C Font"(Plot/SurveylFootage) <br /> DrWoways-No over Counter N on public roadways-needs ROW <br />