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TRANSACTION REPORT P. /ol <br /> APR /23/2009/THU 08:41 AM <br /> FAX(TX) <br /> # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE <br /> 01 APR /23 08:40AM 817273442151 0:00:42 1 OK ECM 0438 <br /> ' VOL EMU, <br /> 813-7eo -0e2o City of Zephyrhllls Permit Application # f Fax•e 7110-0021 13,7tb'co z- I <br /> Building Department '�f" <br /> Date Received - hon <br /> ( U Pe Contact for Pernitlnn • • Q y1 f la _ /rig, <br /> Owners Name 2 EP a e *- ck. LI. C. Owner Phone Number —.c( -- so _ 6) Owners Address I r-1-1;01 Ar 1 •i •S (. -C fsry�1� "� r .� t ( Owner Phone Number I <br /> � • I <br /> L <br /> Pee Simple Titleholder Namel 4, �, I Owner Phone Number I I <br /> Fee Simple Titleholder Address 1 am., I <br /> JOB ADDRESS ( 6 (Au . (3L4J j 1:;4 I LOTM 1 I <br /> SUBDIVISION I 1 PARCELIDIII c }"QrLp*'eQ% -t�I�4414(g-41614 <br /> (OBTAINED FROM PROPERTY TAIL NOTICE) <br /> WORK PROPOSED (gI NEW CONBTR R ADD/ALT [] SIGN n Q MOVE DEMOLISH <br /> n INSTALL REPAIR <br /> PROPOSED USE Q. SFR [N] COMM Q OTHER <br /> ' + <br /> TYPE OF CONSTRUCTION CV BLOCK �F [J STEEL Q OTHER 1 <br /> DESCRIPTION OF WORK r Z J - Y v- ME ✓ j 4 .0\k '. <br /> F CI�P („I,,� /1/14.1 <br /> /� y� <br /> BUILDIN tea <br /> G SIZE , 4 . SG FOOTAGE 1 `"Ip_ HEIGHT 1 rJ l IO , t 1 <br /> • <br /> vci hUILoING (S 2 q 10a I VALUATION OF TOTAL CONSTRUCTION <br /> IX] ELECTRICAL IS I AMP SERVICE Q PROGRESS ENERGY [D W.R.E.C_ <br /> I PLUMBING Is 1 eD 3 S p it ✓ <br /> © MECHANICAL (S I VALUATION OP MECHANICAL INSTALLATION �'I r " , t LT <br /> 1 I CAS n ROOFING n SPECIALTY D OTHER �O <br /> r <br /> PINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA AYES ON s k-b <br /> BUILDER COMPANY ( PjGyy, j :47. G I <br /> SIGNATURE 1:?S-44a0.3-9(bs--d----------- �, "/ �RE016TER� I / N 1 �. I �' FEE CU eIrt I Y/N <br /> Address CI Ie9 (3 4 %( 1 .t 1— },,K,tces C ,FV.3(iAt es I ear., al y0 1 <br /> � ELECTRICIAN 1 `LECTR)CIAN COMPANY ( I <br /> ,I; SIGNATUR REGISTERED 1 Y/ N j FEECURRENr I YIN J <br /> dd es r 1 1 I <br /> 1 -Liwnse 0 J <br /> • <br /> 1 <br /> SI ON A TU LUMBER COMPANY I <br /> _ RE019TERE) I Y/ N 1 FEE CURRENT I Y/N I <br /> & Address I <br /> I ' Licence* 1 I <br /> d ECHANICA1 COMPANY 1 I <br /> PIS REOIOTER EO I Y/ N 1 FEE CURRENT I YIN I <br /> SIG NATU <br /> 68 — s r 1 Ueenee d <br /> OTHER COMPANY I <br /> I <br /> SIONATURE REGISTERED (, V/ N 1 FEE CURRENT l Y/ N I <br /> Address I 1 License it 1 I <br /> RESIDENTIAL ARadl (2) Plot Plana: (2) eete of Building Plane: (1) eat of Energy Form; R-OW Permit for now oanahuceen, <br /> Minimum ten (10) working days alter submittal dale. Required onelte Construction Plans, SbmNralar Plana wf Silt Fence Installed. <br /> Sanday Facilities 81 dumpier; Site Wort( Permkforsubdivielons/large projecta <br /> COMMERCIAL Mach (3) compete sets of Building Plans plus a UN Safety Page; (1) set of Energy Fonne. R-O-W Permit for new construction. <br /> Minimum ten (10) working days alter submittal date. Required omits. Conebudlon Plans, Stomnweter Plane wl silt Pence mantled, <br /> Sanitary Facilities 61 dunpeter. site Work Pernik for e1 new proJects. All oommerdal requirements must meat compenee <br /> SIGN PERMIT Mach (2) Bete el Engineered Plane. <br /> "'•PROPERTY SURVEY required for ell NEW censvuctlon. <br /> Directions: - I. <br /> FM out epplicedon completely. <br /> Owner & Conked= elgn bad( of applt atbn, notalfzed , <br />