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813780 -0020 City of ZephyrhiHs Permit Application Fax - 813-7800021 <br /> Building Dept <br /> °'"° Received Phone Corned for Preens 1--__J <br /> Owner* u. l l ! Z . . i 4 t Off . ' f i lAil+ 1 Owner Phone limber el s 781- i ! T 1 <br /> Owners Address J ✓� Owner Phone Number I <br /> Fee Simple Titleholder Hamel 1 Owner Phone Number I I <br /> Fee Simple Thtlsholdsr Address I � �1,,� <br /> JOB ADDRESS 139 a 3 6 15+ ?Vt L ? t 1 js � 59;c: � �y LOT # 1 I <br /> SUBDIVISION I I PARCEL m. i CT* — a - coot [J - c <br /> (OBTAINED poor PROPERTY TAX NOTICE) <br /> WORT( PROPOSED NE NEW COOHSTR H — T SIGN n MOVE I DEMOLISH <br /> PROPOSED USE n t SFR l COMM n OTHER I I <br /> TYPE OF CONSTRUCTION p BLOCK I FRAME Q STEEL Q OTHER I I <br /> DESCRIPTION OF WORK _t 1 <br /> ' I jet ' O ita a. , / / ` I , <br /> BUILDING SIZE I SO FOOTAGE 0 - HEIGHT I I <br /> BUILDING IS I VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL IS I AMP SERVICE 11 PROGRESS ENERGY 0 W RE <br /> I PLUMBING I 1 /� <br /> IX MECHANICAL Lt Q' IL----3—i°17 ! , <br /> ( i v 2D , , ( VAL UATION OF MECHANICAL INSTALLATION <br /> 0 GAS Q ROOFING I1 SPECIALTY � <br /> I OTH ER -- <br /> FIBSFED FLOOR ELEVATIONS I I FLOOD ZONE AREA FIVES I-1N0 n 1C • <br /> BUILDER COMPANY I <br /> SIGNATURE • moisreardi I Y/ N I FEE women I Y/ N I <br /> Address 1 I License / 1 I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT !YIN I <br /> Address 1 1 License* 1 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Tit/ l <br /> Address 1 I License • 1 1 <br /> Mt ti FEE CURRENT WEN <br /> Amass tern i 0 Ae Ft 34/478" License. ICACD i ii,9 1 <br /> OTHER COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> '` 1 I License. 1 I <br /> RESIDENTIAL Maki (2) hat horns: (2) sets of Map Phsrw; (1) art of Energy Free R-O-W Penni For new construction, <br /> itlnieenr len (10) waling digs Mier aEtrial dda Rewired mete CvnsYUCikn Plans, Slormswler Plans w/ SR Fence instated, <br /> Srdary Facrties a 1 dayslw Site Want P+enni for subdivisions/large pa :Sects <br /> COMMERCIAL Maki (3) opaplsa ants of Bidden Plena plus a Lis Sek/ Page: (1) se[ of Energy Forms. R-O-W Penn* kw new consrucbon. <br /> Winne hen (10) woad° drys air snAriah dda Required ensile Conebuctian P1err. Planes w/ Siit Fence 'monied, <br /> SIGN PERMIT Mach (2 is of a EnPrred hrn wd new Pr for ail w projects rn <br /> AN conercid regnwanwnls must meet cornpriance <br /> "'PROPERTY SURVEY required for ail NEW eon elndtion. <br /> Dincions ::::::::::; <br /> Fit out application completely. <br /> Over & Contactor sign be of appiraYOn, marked <br /> If over $2650, a Notice of Cerarrnen toed is ns*ied INC upgrades over <br /> Aged (for Me contaclr) or Parer of Albrney (nor the owner) would be srnsons ark n enzal letlsr *tom oerw entrancing same <br /> OVER THE COUNTER PERMITTING (Rant d AppacaiRn Only) <br /> Retools Seers Service Upgrades NC Fences (hoSAavedFootage) <br /> Driveways-Not over Cougar ion Pubic roadags..needs ROW <br />