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813-780=0020 City of:Zephyrhilis Permit Application . Fax-813-780.002'
<br /> Bulldtng Department'
<br /> 'ghl Phone. ,ontact fbr Permittin .;
<br /> -Owner's.Name.'
<br /> G OWn®r Plioni`Number". .�'
<br /> ' rt +;Owner's;Add[eFs OiNnerPlrone Number
<br /> G2 3 3SV Owtiar:Phonm'Nuirti®t'
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<br /> LOT
<br /> "SUBDIVISION, EL
<br /> -:s(OB?AINED0OM.PI3GPERTIK,7AXIJOTIC�)irv�`
<br /> 1NOHK,PROP,OSED_:�.. '. :'NE'W:COATR'�'' 'y
<br /> ADi)/ALT _:' :SfGN"
<br /> s,r . e.: ';DEMOLISH'
<br /> INSTAL
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<br /> PROPOSEDrUSE;.r -SFR:._ G.OMM '"' =OTHEF;
<br /> TYP.E'OF..CONST
<br /> RUCTION'' "BLOCK Ft2AME-7$4'
<br /> f, \-iDESCRIpT10N-0F..WORK. ra, e /9�IG//I 'ellv G'
<br /> gyp.
<br /> :SQ-FOOTAGE
<br /> BUILDING.SI2E `HEILaHT;;;.
<br /> I _
<br /> VALUAT.ION,OE�TOTAL:;CONST.RUCTION.'
<br /> ELECTRICAL. $. .AWSERVICE DUKE;ENERGY'';
<br /> =PLUMBING. - .. $'" ... ;
<br /> QMECHANICAL $, VALUATION'OF.MECHANICALt.INSTALLAT�ON..
<br /> • •'ice:.f' _-i"..:'j , ' -.. ..
<br /> =GAS Q ROOFING.r`[ ;; ;„SPECIALTY.. ., OTHER{
<br /> ,FINISHED FLOOR;ELEVATIONS' :. ,' .r' LOOI)iZONE AREA:.`" '-DYES NO .
<br /> ,.: .,..
<br /> 14+
<br /> BUILDER COMPANY:'
<br /> SIGNATURE ROGIs EDr _•.,...,..., :;
<br /> r'Y/.N;S :FEE;CURREt�: ;<<:Y%N r
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<br /> Andress „. -
<br /> . `�.. .Ucense;;#;
<br /> ELECTRI,CIAN'. ,.COMP.,ANY-:.
<br /> J\. SIGNATURE �� 'REGISTE_. ;:FEE'C
<br /> v `RED Y'%N:: ;Y,/'.N'.r,r•s'.
<br /> Address.:. xr:F
<br /> tlrknse#_
<br /> 'PLUMBER' . . COMF►ANY_`"::
<br /> 'SIGNATURE F :;
<br /> RE'GIS�t3REb " Y%='M.` .Tf,EE,CURREk::"S.
<br /> 'Address: Liieehse.a `ai•
<br /> 1
<br /> MECHANICAL `.., .. COMPANY 'F
<br /> SIGNATURE''. ri ,. ft. r`
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<br /> . .. .. ..; ,:•'...>.,� EGISTERED�::. '>=Y�L�:�N�y:' FEE_GURREK ,r.;. ,
<br /> Address,.: .:
<br /> ',:.Cleans
<br /> OTHER'.. COMPANY;
<br /> SIGNATURE` k"
<br /> REGISTERED Y,&N;;;' N':',:'
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<br /> :Acld►es
<br /> ..License
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<br /> .1a. t,
<br /> ' •A
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<br /> RE i EN S D Tti4 ' A 1 Parts 2 §ets"of' IPdi ;p1r5s' ,1; et`ofErie(.), (.): u. n .l �(-.) ns•:RC)=p�lll a >for.newcoristuctioa,
<br /> 'p n'fo '.1„i�ieF' �+'� 'a f v.31115 ..a.�. ..iw-Lys• :•:1.. ,�:':t:L' {•Y.? �'?( ^:w• ,-.,.`._.+'-
<br /> xM)t thwh. ' t0 5i ;6it �cia s.eftsr{sttbmi i;�ate:�t:R utred:ons teK' r''' :r
<br /> nstriictfon P-Ians;S>tormdateFl?faft w/.$IIt FAnce fnsta
<br /> SanitarycFacilfUes 8�rdgmpster�Sifs:Wtitic;Permit-ftir.'s Whii'sibn3Anpgs projects
<br /> COMMERCIAL Attach,(2pcomplete;sets'of,Bu;Iding-PlansplUs.';a;afe S,efety PagB;('1)'set`of Energy.•Fo'rms.;R-O=W Permit:for,new:cdJostructiow:
<br /> Mtnimum'ten(1;l);;workin da after"""`1iillttal?' aie ;.q ' ?e84onsite;-Consfrictton t? torinwateY Pl' ¢ % i;
<br /> �.., �; ^...,_,9,."�. ,,.,;xs.!!.ar .•:� : s; )as5<S an .waEltFenCe. stalled:
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<br /> Sanitary'FaCtlltres:&:1:,dtirrfpst raSit`e'llA Pi fffora1l'newpro)ects:,Alt commerdal:requtrenient§riiu t`'meet-como lance
<br /> SIGN PERMIT'' Attach(2)sets:of;Engtneen3d;Plans
<br /> "'`PROPER•T,YcNEY requtreb for air NE W.cofistnictton.
<br /> roLa.r, r
<br /> Directions:
<br /> .Fill.out application completely.
<br /> Ownb'r&Conti t:tor'§ign bacKofeppllcation,notarized.
<br /> If over$2500;a:Notfce of Corn nsnrrhent.is required. (AIC upgrades.over$7500)
<br /> Agent•(forthe%contractot)or:-Power;ofAttomey,,,(for the'oWner)avouid tie'someone'with notattied•letter from:owner.•authOriiingaame;
<br /> OVER:T,"E.COUNTER PERMITTING;;' (co rgi of contrast required) ., t: ...
<br /> Reroofs if sliingles Sewers Service;Upgrades';A%C:"" ':Fences(PIoUSurvey/Footage)
<br /> Driveways-Not over Counter-if on:pubtic roadways..needs'ROW _ =
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