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City of Zephyrhilis Permit Application Fax-813-78(),=1 <br /> Building Department <br /> 9,X Phne Contact for Permitilln -e 7, 9 V9 <br /> U v U U U.0 U 9 o <br /> E61- .. , <br /> Owners Name M.-tuall Owner Phans Number613-7TV-1y.20 k <br /> Owners Address (o 3 (jej e 6La., Owner phone Number <br /> Fee SImp]-a Titlaholde Name Owner Phone Number <br /> I"Simpl a ThIsholds Address 1 1 <br /> J 0 8 A"D 0 IRMWE SUS 62/3T LOT# <br /> SUBDMSI0N It, PARCELID#1 Va'l-(0-d2 101-3a-006VO— &7Z.701 <br /> (08TAIMMIFROINPROPSWTAXWOTICE) <br /> WORICPAOPOSED NEW OCINSTItto ADDIALT r--j SIGN DEMOLISH <br /> a * INSTALL a REPAIR <br /> PRO-POMUSE Q SFR Q COMM r--j OTHER I <br /> TYPE CFCON87MRU ON Q BLOCK Q FRAME = STEEL [= I I <br /> DESCRIPTION OF RK fiv ee 4-*,+ :3, WAJ /IlSee-i- SC fat-'r',' <br /> BUILDING SIZE 80 FOOTAGE HEIGHT <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =]ELECTRI AMP SERVICE Q PROGRESS ENERGY Q WJtE.0 <br /> r-1PLUMBING $ <br /> �MECHANIII VALUATION OF MECHANICAL INSTALLATION <br /> MGM flfl ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I;YIN FEE CURREN LILN J <br /> Address Uoenw# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CUMM Ly AddressL N <br /> Address _j <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE GUAM L�—N <br /> Address U'.# <br /> ]MECHANICAL COMPANY Se"i ce <br /> SIGNATURE REGISTERED Y/N FEE CURREN I YIN <br /> Address I 0 coZA-ei �j U.#I CAr-/IF/Z;S I0 -1 <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREK LM1—N-1 <br /> Address Licerras#r <br /> Fill."I--#-[q"-i 11-1-1 -v ii it vi-i-va-i-r-urvi r-i-ii vivii-i-viry-i ii fivus- <br /> RESIDiNTIAL-- A (2)PI X plaria.(2)sets of Building Plow,(1)ad of Energy Forms;R-O-W Permit for new construction, <br /> .e SNftMftWPWft-WSIlt <br /> 6111111MY Facilities&I dumpater.Site Work Perniftfor subdikUlartatarge projects ' <br /> COMMERCIAL (3)complate sets of B"no Plane plus a Ufa W*Page;(1)sat of Energy Forms.RAW Permft for new coristnuctlon. <br /> ninm"an tan(10)wodft clays oftersubmIttal date. Required onsile,Construction Plans,Starr mwater plams W1 SIR Fence Installed. <br /> Mary Fediffes A I dumpateir.Sit®Work permit for all now projects.AD commercial nequirementa must mad compliance <br /> SIGN PERMIT (2)Sale of Engineered Plans. <br /> ROPER`rY SURVEY required for an NEW construction. <br /> . ... . . . . . . . .. . . . . . . . . . . . lk . . . . . . . . <br /> O'nec",,Ililout aw corrostely. <br /> = <br /> &C"ctor&%n dads afopplicatlon.notartted <br /> SMO, Notice all Commencement larequired. (NC upIlinadin over*7500) <br /> Agent(for the -...ctor)or Power of Aftanney gm the owner)would be someone withnotartmd Istlar from owner authorizing same <br /> OVER THE Rpl W R PERMITTING (Front of Appilovilon Only) <br /> Rarooft if shingles Sawars Service Upgrades A/C Fences(PIGUSurveylFoolsillo) <br /> Driveway" over Counter If on public roadways..needs ROW <br />