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813-;311-0020 City of ZBphyrhillS Permit Application FaY-eta-r an-o021 <br /> Bbl:dmg Department <br /> r Dam Received Phano^_ant_rot far Pormalun +L4U J 877.5610 Wnn <br /> Illl•al• Isa�rr <br /> Owner's Name Owner Phone Number <br /> r <br /> Owners Addmas J Owner Phone Number 'I <br /> LSame <br /> Fee Simple Titleholder Name Owner Phone Number Same <br /> Fee Simplo Titleholder Address _ I <br /> r. <br /> JOe ADDRESS ���.. <br /> LOT p1�) <br /> SUBDIVISION [ PARCEL IDa ' — W o 3100 <br /> (ODTMNED FROM PROPERTY TAXNOTICE) 1�1 iiY <br /> WORKPROPOSED B 'INSTALL <br /> A ALT © SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SF Q COMM = OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAM kJ STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Ir Sp FOOTAGE+ HEIGHT <br /> ,C.rkvlk,t CIC C CC ECtt t 9 C CICC CC iCCCCCC-CCCC CC CCCC tCCC I IC CIE CICIt %t CCtC CitlC1.' <br /> IUDING IS o— VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �i(S�,1 ` AMP SERVICE Q PROGRESS ENERGY Q W N_X. <br /> =PLUMBING IIS I <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION yJ <br /> =GAS 0Q ROOFING 0 SPECIALTY = OTHER 1111 eo <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ffffffffffffffffftfffffHfdifffffffffffffffffffffffffffffffffffffff� <br /> BUILDER COMPANY <br /> SIGNATURE :_.a rr_a_p YiN ISE CVe2EN YfN <br /> Address Ucense e <br /> ELECTRICIAN COMPANY <br /> SIGNATURE _e <br /> Address License d <br /> PLUMBER COMPANY <br /> SIGNATURE afcsr�r[D Y:N L r7a9-i+ y r N <br /> 17 <br /> Address I License o �— <br /> MECHANICAL COMPANY <br /> SIGNATURE J EG 3rrr1 Y•N - <br /> Address I Isccnse 0 <br /> OTHER I I OMPANy Tadlock Rctdtlr:g <br /> SIGNATURE t , I I r +sa:t:nca YrN �.....e_a YtN <br /> y it /'� <br /> Address wnurrn Ave Sint •i t i+nm FI: � Licensed 17 I <br /> 1111111111 IOt11IIt1111A 111111111118111111111111 Its 111111111111tllllt <br /> RESIDENTIAL Allach l-?Plot=tans:l2)sets of Bulding Plaits:fl)set of Energy Forma:R OW Permit for new conslru:bon, <br /> Minimum ten I i(j)working clays after submdta�daie Required nnsite Connimmon Puns Slnnnw,xei Ptrrn..vl S'll''•:rite inslatled <br /> Sanitary'an!dios h 1(Ilmpsler,Site Wore.Parma for subn.visco—Lime orolecis <br /> COMMERCIAL Altair,f2)cornfnale sets of 31,tldmg Plans pairs a I.de Safety Page.I I i se1 of Energy Firms R O-W Permit fof new connlnauon <br /> M1Nnmum ten(10)working days slier subraRtal date.Rehired onste,Conslructlon Piars,Slormwaler Plans•xf Sul=once inslnaed, <br /> Sarn;nry FacJnles d 1 dumpslor Sile Worn Parma for all new prolecls•All commor tai?.lwrem.nts must meet uompdance <br /> SIGN PERMIT Aliacn(2)sets of Engineered Plaits <br /> '—PROPERTY SURVEY required for all NEW consuudmn. <br /> 1^!'i•�44'F'l-�4 - ii�1•4iiiKi44.1 +•t1r64-61-t•1-644iKf <br /> ' Ulrncttons: <br /> Fill out.lpplic•ATon completely <br /> Owner Contractor sign back of application,totartzea <br /> 1f over$25(10 a Notice of Cam mancome or is raqui red-IAIC upgrades over ST500) <br /> •' Agent Ifor the uoulraulor)or Power of Allome-y(for the owner)would be someone with rrtanna(cd leller from owner aulnorairg same <br /> OVER THE COUNTER PERMIfrING fcopy of contract le:tuhed) <br /> Reroofs d aha gles Sewers :in,,ik:e Upgrades AIC =am:es IP1o'JS;:rn:yl=oclagr.} <br /> Drivoways-Mrir over Connie#4(in pnbitc roadways neers ROW <br />