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F 813-78D4 ti2a City of ZephyrhillS Permit Application Fax-813-7e0-oO21 <br /> Bung Department v¢ <br /> Date ReceNed Phone Condantfar P.-Mirsg <br /> O.W.N. e2 1 eN Owner PRaone fwbmdw a yD 55 . 15 <br /> Owner's Address op-g -LRx e- Z>lq O,►,ner a e rimier -.�1 <br /> Fee S THleRwlder Marra. I Owner Piwne Ilu nwr <br /> Fee Slmpte�Address - <br /> JOB ADDRESS l�'`710� �RTff 1C� a l2r /�s LOTyO <br /> SUBDIVISION j� xS� PARCELIDs 3 L// z9ge 40 <br /> �'� ///' io9TalQ(EiSfRCi�iPA0F6irYTAXN0710Ef <br /> WORK PROPOSED e ww 1x1HsrR "A ALT Q SIGN 0 [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q c <br /> DESCRIPTION OF WORK °�-✓. (i Jr' AN — o� G' / '� + `� <br /> BUILDING SIZE �� SQFOOTAGEF HEIGHT <br /> "BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �1111�1(S� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QR"LUMSING <br /> CZrME Is VALUATION OF MECHANICAL{NSTAI 1ATiON- <br /> =CM Q ROOFING = SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER CQMPANY 1 <br /> SIGNATURE REGISTERED I YIN I FEE Cum Y t N <br /> Address License# - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRM <br /> Address Ucenso#1- <br /> PLUMBER COMPANY <br /> tSTETttD � ' FEE CURRE+.SIGNATURE REG <br /> Address License# <br /> MECHANICAL Ld� h.�. <br /> SIGNATURE ter rr t~- t Y/N I, FEE C['BEN I N"}' 7� <br /> Address.. h 1 ant 11 License#tt.%�/G L�7 t� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEEcuwjpII Y/N <br /> Address License#F 1 <br /> 11lIililil'I // lilllrlt./ 11l /!l1i / 111111-1.lIIl1 !!./ ! 1 ! ! 1-tlIlIIIIIIIIl1111 <br /> RESIDENTIAL Attach,(2)'Plot Pans;(2)sets of BWOV Plans;(1)set of Energy Fonns;R-O-W Permit far new cwistuction. <br /> KTdmum ten(10)wcdit days attar submt W date.`Required onsiti'Cohstnicfion Plans,Stonrrwater Plans w/Silk Fence installed, <br /> Sanitary Facilities&1 dumpster,Sda Work Permit for subdvisiotrsrlarge projects <br /> COMMERCIAL AUSM(2)ownpals aat3 ar BWWbV Plana Life Safety Page;(1)set of r:"rwW Forma.R-O-W Permit for ma v cortstruction. <br /> Ms nemm ten(10)waddng plus days after Mdxr&W date.Re*IkW orrsite,Owls n m Plans,Sbxmwater Plan w/Silt Fonts Irstslief, <br /> Saralary F_ iWS&1 durpsGar.Site Work Permit for all new projects.All commercial requ rearms must meet comprance <br /> SIGN PERMR Attach(2)sets of Erigrteered Plans. <br /> —PROPERTY SURVEY required for NEW construction. <br /> ak <br /> FBI out application completely. <br /> Owner&Contractor sigh back of application,notarized <br /> lfoverl?WW.a Nag-of Cann neat is variked. (M upprad-aver$75W) <br /> Agerd(tor Via w*actor)or Power of Attomey(forthe cww)world be someone with notarized letter from owner auffiorizing same <br /> OVER THE COUNTER PERMITTING , (copy.of.00ntrai t requited) <br /> Reroofs if shingles Sewers Servim Upgrades AfC ' Fences(PlabSurvey/Footage) <br /> Driveways-Not over Carter if on public roadways..neods ROW <br />