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13.780-0020
<br /> City of Zephyrhilis-Permit Application Fax-813-780-0021
<br /> wI1u a Building Department•
<br /> / atA'Reeel PhonwCon1detibr,Perrrrittin
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<br /> ..,f.Owner's:Name: :•- -_J �/•!c-�.' -r�C,�= � .:;.,... .. . - O : S'�� _ g'3:-53�-._
<br /> - �iner.!Plion®�Nuniber�'= �(a�U'
<br /> n,Owner'a Address -3'9�':O �p"�I-�- . �� Own®r Pkone=Numb®r '7— `S:'
<br /> h -T•�C l LS L-3�S 2 OwH®r;Phone Nilinbet''.
<br /> %'J ADDRESS:
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<br /> OT#=:A;
<br /> SUBDIVISION :. PARCEL
<br /> ;(OBTAINEDROMfPRbPERTIF.:TAX I(OflL) -r
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<br /> ;W -RK-PROP•-.OSED __ NEW:CONSrFt. ADD/ALT"-: :SIGN" _ i DEMOLISH'
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<br /> PROPOSED>USE,'.. $FR:i:> ::'Q.;- '.zGOMM<'; "` -:OTHER'"r
<br /> '-TYPE=OF CONSTRUCTION'. BLOCK'i' FRAMEfi '`
<br /> c r---!-� -STEEL
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<br /> '.DES,CRIPTIOWOP WbRK;.: —SiL
<br /> kL !:�c/ J i' _ �.3;
<br /> :BUIL:DING•SItE S.Q,F0OTAGE: _ HEIG
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<br /> 44
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<br /> BUILDING'� '•$ -
<br /> `: VALUATION;;OF!4TOTAL''CONSTRt)CTION
<br /> o• • ..Soo
<br /> =E(ECTRICAL.,,. $, AMP',.SERVICE DUKEENERGY. ;;er ;'ViiR:E.C..
<br /> =PLUMBING' . :''$; .. :.�i�� •}7iZ-��3� - . �.7:;�r�� •
<br /> =MECHANICAL $• VALUATION OF MECHANICAL'IN+STALI ATfON17
<br /> =GAS 0 -ROOFING ,SPECIALTY - OTHER:._
<br /> FINISHED FLOOMELEVATIONS:. ' 'i tFl°OOaz-ONE'ARRA,�:``'• '[ YES`.` ` `NO
<br /> BUILDER COMPANY.. : o. .:O:w v w.
<br /> SIGNATURE ' `�— �..::y..REGISTkREDi %Y'/-N• ?'FEEiCURRE�r; !EY%N':i•'.'z
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<br /> . .. _ -. .. - .•,:w ^tea",.• `�. _.js..:' - "
<br /> .Address` ,. License,#31.;.� :-'r -•�;
<br /> ELECTRICIAN` .., COMPANY N.
<br /> SIGNATURE REGIST0ED' Y'%N.' ,;FEE CURREFk,
<br /> `°Address itciense.#•.` �
<br /> PLUMBER COMPANY�-_ - - - -.
<br /> SIGNATURE :RGYSTI:Rtcl) "` Y%=N=`, 'j'.fEE;CURRF,A` '' SF.rN��
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<br /> -Address
<br /> ,<.' Incense:
<br /> MECHANICAL: : .. COMPANY:
<br /> SIt3NATUR6 _ :REGISTERED:: Y ;N; r'FEE:'ef1RREn'^"`.'•.Y./;N
<br /> Address,..:: _: ".,,_ :. ei#,1,
<br /> Lipens
<br /> OTHER',
<br /> SIGNATURE'. R�CiI�tIcRED - a=Y:/x N;:;;, F,EE,GUR
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<br /> _"";Address......::,�._ ,:.- .:..,. ___ - - ,,.:_ -•
<br /> .License.#;
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<br /> P. a 'coils tlo'
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<br /> •' ' -f� aidtn�:'pens• 1:';sef'ofs ne on'ns•�.R=O=�IN e• Mornw �'c n;�:
<br /> RL:SIDEN11At:' Attach:;' �Ict�Ians,(��;�ets'b,�..i. _�I- .,(-)- E r9Y E. .� •.�. �-
<br /> ', G'., ..1:•.nE•.a• a'r.•+ :,. ?s:,8, :. " •,�-c •.� q�'a' 'p r`� 'Y _t-
<br /> *M)nithum fen(d.0�� ork�tigadays af(erstrbrl�ihl'i)ate: RireTf onsite;;C,onstriiictioii Ptarrs;S�ormuatefPferis:�i/.::Slit l= rice;fnstallsd;
<br /> Sanitary;Fadlities:8 :.dumpster,�Sife.W6rk Perritit fOrsi�6diiiision3/la�.rge,projects
<br /> COMMLRCIAL - .Attach:(2j�complete;Setsof;Bulfding.Plensepfus:,a 9feSNafetyP.agei(1)'set`oftEnergyFo"rms;R=O=WPerrriit,fdr;new,;QpgtrucUon�:.;,."
<br /> Mln(mum'teri(1:0),';working da �aRers�lliQ IttaY d `e,:Req� retl`gnsite.-ConsWcyori Pi�rtsy Sto•miwat�r`,Pjan:;iw% ilt;Fence m`stalled::.
<br /> Sanitary'Fad1IIt s&1 durif�s Siie Nork' errnit'for all newprojects:Ali:eommerdal:requireinents must meet compliance :.
<br /> 'SIGN PERMIT AttacH(2)?set of Engin;0erei;i?lans: F;;c :;; ,,.:;:'
<br /> "PROPERTY SIJRV[3Y requi1
<br /> red for alt NEW coristrucdon.
<br /> ..A
<br /> Directions:'
<br /> .Fill out application completely.
<br /> 'Owner,-kCQnfi ctor•stgn; ack'.of app•p�icaBon;notarized
<br /> If overs25U0;a'Notice:5f Commencmerit is required. (A/C upgrades.over$7500)
<br /> Agent:(for-the:contractor,)oriPower:;of.Attomey;(for,the owner);would1;ibosomeoneiwtth notarized•letter from:owner•authoriNnI g same:
<br /> OVER:TIfECOUNTER.PERMITTING, (capX:ofconira�tregyired);. .- .
<br /> �..
<br /> RerodfsIf sliingles Sewers ServicAsUpgra'des:`A/C "' `''Fences(PIoUSurvey/Footage)
<br /> Driveways-Not over Counter if on public roadways-needs ROW
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