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• 843-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Date Received Phone Contact for Permitting
<br /> Owner's Nome . 1410 " r Owner Phone Number
<br /> r/
<br /> e--Lz Owner's Address J�211U Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Addiress
<br /> JOB ADDRESS L2 (4 LOT#
<br /> SUBDIVISION F PARCEL ID# 000 740-06/-(21W
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK'PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH
<br /> INSTALL 8 REPAIR
<br /> PROPOSED USE Q SFR Q COMW = OTHER
<br /> TYPE" tOQNSTRUCTION BLOCK Q FRAME STEEL
<br /> J—
<br /> DESFf"', Oflbtl OF WORK 4 4'�)
<br /> lop,
<br /> PUIIDING.SIZE, ....... SO FOOTAGE HEIGHT
<br /> -( :;�BOILDING 1$ VALUATION OF TOTAL CONSTRUCTION
<br /> C/t
<br /> r--JELECTRICAL $ AMP SERVICE Q 'PROGRESS ENERGY 0 W.R.E.C.
<br /> =PLUMBING
<br /> r--IMECHANICAL $ VALUATION OF MECHANICAL'INSTALLATION
<br /> =GAS ROOFING Q SPECIALTY. = OTHER
<br /> F NO
<br /> FINISHED FLOOR ELEVATIONS FLOQD'ZONE AREA =YES NO
<br /> COMPANY OMPANY
<br /> SIGNATURE REGISTERED I Y/ N J ' FEE CURREN I Y/N
<br /> Address License#
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE• REGISTERED [;Y:;N FEE CURREN
<br /> Address Weense#
<br /> PLUMBER COMPANY ,
<br /> SIGNATURE REGISTERED -'[-Y'/'N FEE CURREN: 1-1 N
<br /> Address License# F
<br /> -MECHANICAL C PAkY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/Nj
<br /> Address License#
<br /> OTHER ,COMPANY
<br /> SIGNATURE `.REGISTEREDRED Y/-N: FEE CURREN- -L_-Y/,N J
<br /> Address License#.[ -
<br /> <,RESIDENTIAIL Attach,:(;)PlotRians;�(?),q0tsiOf, r, Q;X;0ofi4,r6y,.Form;;;,R.O,.W,Pqrmitfo�.ng�,,construction,
<br /> Minimum ten(I id 96�,d ys after4s4bmJ4I d§t9.,,,.Re .,oriilt6.Constru PI ter_q . c#on,. ans, rmr Plans W/'Slit Fence Installed,
<br /> Sanitary Facilities Ivi" CIS
<br /> Attach
<br /> agd;'(1)Ut`df Energ�Forms.'R4)-W Permit for new.construction.
<br /> us-i'Lit"" VPI,,"'-"COMMERCIAL coin late dfbiifainio Ptins,iik'a', a*
<br /> Minimum ie'(4'O)working days iifiirsUbniftidite':.Re44le4W ons:-iWC6' h6WdffdftP1ansj Stormwater Plans,wtSilt Fence Installed,
<br /> Sanitary
<br /> Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
<br /> SIGN PERMIT Attaclf,(2)sftbf Engineered Plans.
<br /> "**PRO ERTY P , ,�SURVEYrequiredfbr,,41,1:l9EYV.00nstrucuqn.
<br /> Ease w k ll ffe
<br /> Fill out appllcafion'66M&Wy.
<br /> Ovune )i Contractor ilgii-6ac 6f,-applicadon,-,notarized-
<br /> if over USK i�NoUcecif,,C-dWiffenctinent is rbquirgd.,.,,.(AIC upgradeavver$7500)
<br /> Agent(for the doritra6tor)-d'r''06Wiar-'6f=Adbrriey,(for.the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTEWOERMIT- I'l (qo'P:'*"y'of contract required)
<br /> Reroofs if shingles gewe'rs'� Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not',over-'Co.un!Or:if,on p4bIIc.rqod"ys;.nee-ds3ROW
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