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1 <br /> 0- <br /> 813-780.0020 ofZephyrhil(s PermitApplicatl Fax8i- 3-70 ez 1 <br /> Building Department <br /> Dale Recei d _ Q <br /> Phan Con ctfG Ii n ( � ): <br /> sect si _ q - <br /> Owr;er' Name �' \ caner o or <br /> Ow er's Address` j��S� _ `a0wn_orPhone Number <br /> Fe Simple Titleholder Name Owner Phone Number <br /> Fee Simple �tdrress�s `�` �{ r�T <br /> JOB ADDRESS ::303 V\ �• ,��1`,��J�`y`S- �"..��^7-'�`'"l'[ LION# <br /> SUBDIVISION PARCEL IDS I 1 z(s G.. <br /> IOOTAiNEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEVJroNsiR® ADD/ALT [_] SIGN {= DEMOLISH <br /> 11 INSTALL REPAIR <br /> PROPOSED USE SFR = Comm ® OTHER -7 1, L <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME <br /> 1 L] STEEL <br /> DESCRIPTION OF WORK } <br /> BUILDING SIZE SQFOOTAGE= HEIGHT <br /> L'-S'a K:C'[-L'C Q-[L4C1E C S U ct'Ar x["CL 6"L A[`[-[ft L C[6 C L'i-C[l;["C C>i C C 4 C C"[X IC'C["r <br /> =BUILDING 1.g-r VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S".� � e�I AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $.. I /� n ^ n <br /> I; <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER 5 v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN. FtEcLVFFa N- <br /> IT <br /> Address - -- . . License# <br /> ELECTRICIANS COM ANY <br /> Y�N FEE CURREN Y <br /> SIGNATURE � --r1'14 <br /> Address t G..ti l( \ DJJ�L License#` • "_ �`� <br /> `. . <br /> PLUMBER COMPANY - - <br /> SIGNATURE ftEGISTCREO ^!_jam FEECURREN <br /> 1 <br /> Address License#f <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y1N FEE curlReNY/N- <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Yl•N FEECURREN Ya.N <br /> Address License# <br /> is l,t,iflr6lfR'4'B'Q1,lYlove tt Write it at l If all-142 its fe.101tter'E4iC-11V-tG`REIIlDftt44i its glut <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fornew construction, <br /> _Minimum ten(10)working days after submittal dale,Required onsite,Construction Plans,Stormwaler Plans wl Sill Fence installed, <br /> _.._ .- . ItalyVamfM flIIftt�tSl£P'SIt2fVGfHf trfftlCfUt90Utlt415tCii^uRf[gtTtRoJL ... .-..___._.._.. .._..._ - ..-._.. _.--_.,-. ._ -. .. .._.. <br /> COMMERCIAL AtInch(2),complete refs al:B ill'!, 11,11 'p14 a Lifd Sstety`Pnge;(1)snt Gf.En4fity Forms.R-O-W Pornit tpr 11ew Construction. <br /> f:4inimum ten(14)wwkii.1 days aitD7 sobniitfnt.date..Requlmd'onsite;Constriction Plans,$Iomtwaler Plnns.ti/Silt Faroe Installed,. <br /> Sitnlite !, 1(it(es:61;duii11a5ter.S11d,Nr<irk'f i@n,if tot 1 flaw pfcJecis:'AR c+�mtnalcfaJ`regUirem_stiss must tract compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrectians: _ <br /> Fill oul application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required.(AIC 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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles. Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> - - Driveways-Not over Counter If on public roadways..needs ROW - <br />