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813-78MO20 , City of Zephyrhiils Permit Application Fax-813.780.0021 <br /> , : . :BullditigsDepartriieritr',:. i ,. .. _ . . <br /> Date Received { <br /> PhonesContaakr Permitting f-K3- .r 3, <br /> 'Ownse -Nitiie?; I 0� J. L ,•Owr er,�Phor :.Number- <br /> v., <br /> :t3weer's Atlilress' C,3! ` In° �rS3a _6�7777 '.owner+�hone,X.6- her-. f <br /> • .. :•.. •L=-��- F 6�.,�-��.:�-•.5�"�S!/ � .' -:Owner.Pliort®rNymtierN`,�-. .. <br /> j ll ` L <br /> JOB?D RESS .:la,: ,1 C vJf�`L° .3 .�7[/ <br /> VISION-,; ;� .. ` `PARCEL ID# V — c+Z 1—.�ll d—U Utz=tq�C) <br /> :. <br /> tt187lliNEt)'FROIVt%PRQPERTY-TAX'lIQTtCEj:.:: <br /> WORK PROROSEI) y 'NEiAI 0N5TR''"' Ab0/ALT"' SIGN :;DEMOLISH <br /> ;.: . <br /> e: . ;INSTALL' 8 REPAIR <br /> I PROPOSED=USE SFR COMM'" OTHER`',. i t�►+n. <br /> ` o o�---ryf <br /> TYPE"QF C_ONSTRIiCTiON 0 BI.dCI<' L�J.: FRAMEEEL r=CJ <br /> DESC.RIts'rIQ"OF'' ORK �• ram► O ..N <br /> BUILDING SIZE: :.54'FOOTAGE --HEIGHTS`. t <br /> .w <br /> + BtlILOING $�1./.. VALUATIONtO')-TOTAL'CONSTRUCTION ? <br /> QEL•ECTR(CAL'?_ . $' '-`AMP'S <br /> JERVICE• DUKE ENERGY. 1N:R.EC:- <br /> j �. <br /> i <br /> QMECHAN(CAI-. $ VAIt)ATION:OFMECH�41�iiCAE:?INS7ALt:A-ION. <br /> { . <br /> 71 <br /> =GAS ROOFING :Ej �SRECiALTY• O.THE12':` <br /> FINISI4b FLOOR`ELEVATIONS,'" ' `' FLObD ZONE AREA- YES NO <br /> BUILDER COMPANY Y' <br /> SIGNATURE "REGIstBiieb. YF N- 1-1EECUiiRah, V N <br /> :;AndreDUD vahh #;:SGC=L3 t) sJ'3 S j� <br /> ELECTRICIAN. COMPANY, . <br /> SIGNATURE "REGISTERED <br /> Addressay : ;LiGe11B:#}'I . <br /> PLUMBER :' COMPANY . <br /> SIGNATURE,,, REGISTERED. --Y:1=•N•"s . `FEE'eui "�°' ;,;xY`/'N 4•- <br /> Address I .License:# I <br /> MECHANiCALI: <br /> SIGNATURE ' REGISTERED Y%:N ';: i EB+cuRREh :,X/_N•' <br /> OTHER COMPANY .: <br /> SIGNATURE- REGISTERED ,Y� iV :` ;-'t FEBICURREK- Y/'N <br /> Address,;„ <br /> RESIDENTIAL Attadi.'= 1:l?lot Plan :2 se s'+f=Bt tldi I tah ':1.sset#c( R:. F' rfis.,t2«O?ilyf€'ei i`t=a?fienv tlsirtic6hin, <br /> Min(mum ten(fOj�Ilioritirig days after'sCb"mittal date:'Required onsif®,ConstrucUon Plans,Sformwater Plans,w/`SIIt:Fence installetl; <br /> Sanitary Facilities&1 dumpster;Site Work Permit_for.subdivisions/large projects <br /> COMMERCIAL Attach.(2)_comptete.sets-of Building:Plans:plus:a t:ifetSafe(y4Page-.(I)set of-Energy;Fomis:,tt-{i-W-P0fMIt for nerY conJtrucVcn:' - <br /> Minimum ten(1.Oj,yvriHdng da-ys affer'sutimtttal data:'::.Requirdd o`risita,Construction PCens StormwaterPlans'-w/Silt'Fence installed; <br /> Sanitpry.Facilities,&:1•dumpster;Site-Work-Pemiitfar.:all•.nevrprojects.All comrrtsrclal.requtcerrierits rioust meet.compliance:• <br /> SIGN PERMIT Attach{2):aets.;of,E6gtneerad;Plansc <br /> ••••PROPER7Y'SLfF VEY required•for all NEW construction, <br /> Directions: <br /> Fill out applicatfon.completely. <br /> Owner'&-Contractoi•islgn-back of appiliat(on::notartzed <br /> If over$2500,a Notice of Commencement Is required. (A1C upgrades:over.:$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> Ll <br /> OVER THE:COUNTER PERMtTTING- • (copy of=eantract•regpfred)•�. <br /> Remofs if shingles Sewers Service tlWiides`�' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />