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<br />0/' <br />~\ 813-'-20 <br /> <br />City of ZephyrhlUs Permit Application <br />Building OepMment <br /> <br />Date Received <br /> <br /> <br /> <br /><{?~'3- 0 7 <br /> <br />Owner's Name <br /> <br />Owner's Add..... 5439 Ra.t~ <br />Fee Simple Tltlehofder ~ [ <br /> <br /> <br />PfIont ~Ior <br /> <br />Fax-813-780-o021 <br /> <br />"" <br />Owner.~ Number <br />I .......--1 <br />. 33634 I <br />Owner Phone NUftlber <br /> <br />.. .----.... .....~.. <br /> <br /> <br />1 PARCEL IDIJ <br /> <br />GJ NEWCONSTR B <br />D INSTALL <br />41 SFR 0 <br />TYPE OF CONSTRtICTIoN 0 BLOCK 0 FRAMe 0 <br /> <br />DESCRIPTION OF WORK ~. ~ Single Family Residence <br /> <br />BUILDING SIZE ft.~. tJ 'I 'y... ~O ' , sa FOOTAGE I ,~~.f f <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br /> <br />D BUILDING '$ )5 Lf i ()(JO <br /> <br />, <br /> <br />D ELECTRICAl [$ 0 /5;;; 3. ;;;20 <br />D PLUMBING [$ 4(; / 7. 30 <br />D MECHANiCAl ,. !S C; 00 .00 <br />CJ GAS '0 ROOFING <br />FINISHED FLOOR ELEVATIONS I jPB. vi) <br /> <br />U <br /> <br />BUILDER <br />SIGNA TURE <br /> <br />Addr... <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Add,.... <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Addr... <br /> <br />JlECHANICAL <br />llGNATURE <br /> <br />Addr... <br /> <br />210 <br /> <br />ITHER <br />IGNATURE <br /> <br />Address r <br /> <br />ESIDENTlAL <br /> <br />OMMERCIAL <br /> <br />GN PERMIT <br /> <br />Drlvewaye.Not over 0aunW If on pub/lc roadways..needl ROW <br /> <br />ADDIAJ.. T <br />REPAIR <br />COMM <br /> <br />D <br />D <br /> <br />I <br />1 <br />I <br />I <br />D <br />I <br /> <br />4-26-2.1-0 Ofo 0 - OO~ EJ- 0\ <br />(OBTAINED I"ROM PROPERTY TAX NOncl) <br />SION 0 MOVE 0 <br /> <br />OTliER I <br />STEEL D cmtER I <br /> <br />DEMOLISH <br /> <br />HI!IGHT I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANiCAl INSTALLATION <br /> <br />COMPANY I Wi1Xlward Hanes I <br />ReOI8T!RlD I V I N J FEE CURRENT I V I N I <br />Weens..tIlI I C8C125nq 10 I <br />s & S Electric Co. I <br />I VI N I FUOUMaNT I V/N I D- <br />.-... .:l-11/Jl... ~" es l 'l.() Of 2 L <br /> <br />I ;l'mtJ 'if,:~ I 'fIN I I <br /> <br />Ueen.., le,.<1. ()S' ~ '5 C> tf I <br /> <br />~(~~ ~~ I ~'15 <br /> <br />UOMB.' li =.119 J ~ 17 CAlf L ~..!J <br />I <br /> <br />] <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br /> <br />Attach (2) Plot ~ (2) .... of BUlId'ng PftIna, (1) Nt of 1Ml'fW fIonona . <br />MInImuM tin (10) ~ ~ IlfW aubmlttltl... ~ on., Conettuotlon Pl.... SIInft8ry jIIacflltlea & 1 dumpeter <br />AttMh (I) .... of IuIcInj ,...,., (1) Nt Of I'*IW ftofma. . <br />MIntmuin tin (10) wertdno ~ IlfW aubmtttIll~. ~ OMIte, Oonttruotlon PI."., SanItary jIIeclIHI.. & 1 dumpster <br />All eoI1....... ........~ muat meet oompl"nce. <br />AtIMh (2).... OfI!nGlneeNd ~ <br />AA A~ I 'f IUIWav NCIUINd tor aU NIW ClOnIi'UolIon. <br /> <br />ractlona: : <br />Fill out app/1cItkln ~. <br />Owner & ContIacIOf elan Mck Of ___lion. notMzecl <br />If ovar $2800, . NotIoe ofCoftIl1,~ I. NqUlrecl. (AIC ut:laI'IldH OWl' tIOOO) <br />Agent (for the oonn., tJt J1GMl' of Attorney (for the owner) WOUld be aomeone with notIlrtzeclletter from owner 8u1'1or1zlnc1_m. <br />IER THE COUNTeR PlMtITlINCI (Front of AppHcatton Only) <br />~eroofs Sewln 8ervloe UPG1'8de8 Ale <br /> <br /> <br />3634 <br />COMPANY I <br />....18TMIID <br /> <br />COMPANY <br />""""'MD <br />1 <br /> <br />J1enoes (PIotISurveylFOOf8ge) <br /> <br />OTliER <br />DYES <br /> <br />DNO <br /> <br />LVI N <br /> <br />Fa CUMlaNT <br /> <br />I V/N <br /> <br />Ueen.. , <br /> <br />.__._~-, <br />