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<br />02/04 2008 13:45 FAI 813 626 7432 <br /> <br />SLB[RIB.'\ PROPA\E <br /> <br />4iJ 0021002 <br /> <br />813-780.()020 <br /> <br />City of Zephyrhilis Permit Application <br />Building Oeplnmcll <br /> <br />Fa.~13-780-OO21 <br /> <br />'11cP <br /> <br /> <br />Date ReceIved <br /> <br />Sf <br /> <br />I <br />I <br />I <br /> <br />ZEPth~H-It..LS I LOU I I <br />PARCELIl>>~- z/- 0010-02600-01 ~ <br />(08TA"'D _IlROPEWlVTAX NOTICe) <br />SIGN 0 Move 0 <br /> <br />I <br />~ <br />-.J <br />J <br /> <br /> <br />Phone Contact for Permlllln <br /> <br />e &Qj(>..i ras <br />. <br /> <br />7 Tt-f <br /> <br />~ <br /> <br />Owner Phon. Number <br />Owna. Phon. Number I <br /> <br />Own.. Pho... IItlmber l <br /> <br />~ <br />L <br />E <br />r- <br /> <br />D GAS 0 <br />ANlSHED FlOOR t;LEV-' TIONS I <br /> <br />,.". Simple Titleholder AddrMl L <br /> <br />15740 <br />L <br />El <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK 1-5()O A 6- <br /> <br />I so FOOTAGE [ <br />::: <br /> <br />I <br />I <br />~ <br /> <br />JOB ADDRESS <br /> <br />7 'r{! <br /> <br />WORK PROPOSED <br /> <br />NEWCONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />o <br />CJ <br /> <br />ADOIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />tlUBDlVlSION <br /> <br />'T4A...',,- <br /> <br />"5vvA,P <br /> <br />OTHER L <br />STEEL 0 <br /> <br />OUT <br /> <br />HelGHT r <br /> <br />OTHER r <br /> <br />BUILDING SIZE <br /> <br />D <br />o <br />o <br />o <br /> <br />AcIdrwa <br /> <br /> <br /> <br />=:=J <br /> <br />Utense 11 I <br /> <br />I SVB()1Z-8~ P€'oPtlWE. <br />~ FEE CURRENT L.!l!LJ <br /> <br />Ucened I M& Oi5G/<f- <br /> <br />LY.lli.J <br /> <br />[J W.R.E.C l < t ~ f Jt-. <br />f A s\~ s~\\.~ <br />1) o--~ If' ~ <br />K-b~A1ff <br />L!!!LJ I p~ <br />I <br />I <br />LWLJ <br />I <br />~ <br />L:!:.L!LJ <br />1 <br />, <br />I <br />I <br />I <br /> <br />BUILDING <br /> <br />VALUATI(.'N OF TOTA~ CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />~ <br /> <br />-'MP SERVICE <br /> <br />o <br /> <br />"ROGRESS ENERGY <br /> <br />PlUMBING <br /> <br />MECHANICAL <br /> <br />ROOFING <br /> <br />BUILDER <br />S101\1ATURE <br /> <br />r <br />L <br /> <br />Add.... <br /> <br />License # <br /> <br />ELECTRICIAN L <br />SIGNATURE ~ <br />AddrMll I <br />PLUMBER I <br />SIGNATURE <br />I <br /> <br />COMPANY r <br />REGISTEReD <br /> <br />L.:!l..!U <br /> <br />FeE CUMENl <br /> <br />l <br /> <br />COMPANY <br />AEOISTeRED <br /> <br />I=: <br />t.r.L!LJ <br /> <br />L <br /> <br />Li08nse 1# <br /> <br />FEE CURRENT <br /> <br />Add.... <br />MECHANICAL [ <br />SIGNATURE _ <br />Add... L <br /> <br />Liceosel# <br /> <br />COMPANY <br />REGIB-TE.RED <br /> <br />I L.Y.LlLJ <br /> <br />FEE CURRENT <br /> <br />OTHER <br />SIGNATURE <br /> <br />E. (lU)#h47'lW A~ <br /> <br />RESIDENTIAL <br /> <br />AlI8Ch (2) Plot PlIln.; (2) - Of B"d1ng Plllne; (1) 11II d Erwgy FOI'IIlI: R.O-W PllITIllt for n.... COIIIlrucIon, <br />Minimum ten (10) wortlng dl)8 .terl\lbm1tl81 dele. ReqoJrad cll8lle, Ccnsl<uca<ln Plena, Stcmlw... Pl_ wi SI~ F..ce iNltoll!lId, <br />S8nlllry FcHiIi.. & 1 d~mr>>ler; $lIB Work f>etm~ ~ IUbdl\/1l1onellarge prcj_ <br />AllIch (3) complHa.... 01 Sullding PI8na plu.. ur. SIlfety Pqe; (1) IIIIl d Energy Forms, R.Q-W PIrmit for new oorllNCllon. <br />Minimum len (101 werling daya __ e&Dnlltel d.... Requlrect ensile. eo.l1lUc!loIl "'.nl. S",""""ater "'.... wi Slit F.....,. inll8!led, <br />Serilary FacliU. & 1 duT1pelar SI1a WcIk Parmlt fer III new p~. AM commlfdel NCl"'-ts mUlt meet ccn1llll.nce <br />AtI8ch (2) .... ol Englneerlld "'ene <br />-'PROPERlY SURltEV reqlJiAld for Iii NEW _uctlcn, <br /> <br />- <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />111111I <br />Dlnoctlona: <br />fill cullpplcatlon completely. <br />Owner & Cannel'" sign back of .ppllcatlon, notlll1zed <br />If over $2500, . NotIClo of Camm.ncem."t Is l'8CIulrlId. IAlC ul>llrad.. over $5080) <br /> <br />.. Agent (for 1he <<lnt'acto" or PCWIt' of AItomey (I'M the own..) would be someone wllll notel1zli<! letter from OWner luthCllt2lng ..me <br /> <br />OVER THE COUNTER PERMITTING (Fl'l:Int Ii AllplClton OnlYl <br />RIrcofs S- Service UpgrSClee Ale =en_ (PlotiSu,,,,,ylFocl8ge) <br />Drl_ay.Not over Count.. W .", public 'Oadw.,..,..neorcls ROW <br />