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03/26/2013 TUE 14: 49 FAX $13 SOUTHERN fiQUIPMENT �J001/001 <br /> • s�3aeo•oozo City of Zept►yrhiils Permit Application Fau-813•7800021 <br /> ewafoe oepsrlmeM <br /> Dete Reeefv6d 2 . � .7� � 3 Phone ConUct(or Parinitlln ��4 J Zv _ v�� U ' ZC T�� �j /�'l d)y1(A/,,,y <br /> Owners Name (,,, (t„F �1� � (,,�� �p A i <br /> � r phone NumL'por <br /> Ownee'a Acldreas�'��W `--�S�V'`��'���-� ���hone Number ��� <br /> Fee Simple 7itichofdorName /^t � OwnerPiwne Numbvr ��1' L.S�' J8� /� � <br /> � �L�. <br /> Fee$impU Titlehoiqer Addtnu �, �� <br /> 0 <br /> JOB ADDRESS U p 11 {��.�.�T �V A�Q,,,�, LpT q � <br /> sueav�srori �I� fiAi2CEL IDM �l'l�^l l� o p t o-o�o 0 0-o og�o <br /> (OBTAIN80 FRON PROpBitTY TIUC NOTiCFJ <br /> WORiC PR�PO5E0 � HEW CANSTR� ADD/ALT � SIGN Q � pEMOLISN <br /> INSFALL REPAIR <br /> PROPOSEO USE Q SFR � COMM [� OTi1ER <br /> TYPE OF CONS7RUC7fOtJ � BLOCK FRAME � STEEI, Q <br /> DESCRIpTtONOFWORK GO*IS�c4.�C.'L A S�NVLE S"CoR. �.k�A*15�e1� i o � tS'�' �b �Vlt. , �,��1'�c�L•`1l� 1,�i1C._ <br /> / J <br /> BUILDIN iZE S It�(�L� ST• �q FOOTMIE �O� HE16HT �I• M�X <br /> v'7 l�,'C� <br /> BUItOING $`�1�$'�a Q �OVAt,UATIOIV OF 70TA1 CONSTRUCTION �%�" <br /> T -r/�L-. � ( i� f.►X <br /> [�LECTWCAL t( e� AMP SERVICE Ipb O � pROGRESS ENERGY Q W.R.E,C. <br /> •'� O <br /> PLUM9ING g �� RO� � ��S ^ �� � �f <br /> � �=�- P <br /> �MECHANICAL �� . yq�UAT10N OF MECHqNtCAt INSTALLATlON � i'L J�L�� � <br /> �^—^� 01J \.,.� �^ <br /> LJ�$ ROOFING Q SPECt/LLTY � �� t�..�. 1/1(�� 1/l �j�LIS 1�t.1,�e_ <br /> Q OTHER • �� <br /> ftNiSliED PI.00R E�EVATtONS �� � ~ <br /> �]G; t1 Fi00620NEAREA x QYES NO - ���� ��S'.., <br /> i� 1 � J '3�E" C.�t 1 •S`1.�.�. T� <br /> �1 in••'c�.c� <br /> BUILDER A �'����� <br /> 81GNATURE j�.--- COMPANY �*'i�r��� �+�STES� ��• �l'> <br /> _ aemereaeo Y/N fE8 CUANEA "Y!N i�(!l.✓�'^b"�{ <br /> _._..._.. aadross i"� $"'�j - 1. �"I,. . E-TE FC..2'�1�■ ��C OS�39�-{ <br /> - ,� <br /> ��JZ ,t G y') � ELHCTRI AN CpMPANY <br /> � i tJ_�� SlC3NATURE REG�STCrteu Y/N �e CuAnB. Y/!J <br /> � F��� Address t <br /> U'( �O"L':/�'j - —_,,,__a <br /> PWMBHR / 1 � �/ Q� 1l/ �� �`D�� <br /> SI(�NATURE � r�lrCr""`-" "�• �+ L�. � �aC aMs�rteD Y��Nf F�cuanen C�'`-Y�� - <br /> Address " <br /> r) �' <br /> Lkense p <br /> fJ!Z J'r�� MECHAMICAL ' CQMPANY �C� .j.��ll �.QN <br /> 1 ,. ' SIONATURE aE0�6TE�D Y F�CuRaEn Y N <br /> .� t lq� dC.le <br /> ;, � `��;i,.�;1�21 Adamss � <br /> � iiCense# <br /> OTHER COMPANY <br /> SIGNATtJRE REOIST@RED Y/N t�CUrta�n V/N <br /> AOtlreas Li��� � � <br /> RESIDENTIAI AHaoh(2)Plol Piana;(2)sels of Bu�ding Plans;(1)sel of E�etpy Forms;WO•W Permit fornew consGuqyon, <br /> AAinlmum ten(40)working deys afler submittal date. Required onsfto.ConsUUCtion Plens,Stamwater Plans w/SIB Pence instailed, <br /> Senitary FacWties&f dianpsler;SNe Work PerrNl tor subdiWsionsAerge pr�j�s <br /> CUMMERCIAL lulad�(3}complefe sets of BWldinp Pi�s plus a LI(e 3atety paDe;(1)sN of Eneigy Forme.R-O-W Pa�mit for new conaWUlon. <br /> Minimum ten(10�workklp dpya alter submitfel dale. Requked onefte,Cons�nactioq p�ans,Slorthwater plans w/SNt Fence intlelled, <br /> 3anilsry Facllilies 81 dumpater.SNe Work Pertnil ior all new projects.All cortuqe�q�t r�eq�Imme��g muat meet compNance <br /> SiGN PERMiT Aftech(2�seta of E�gfneered p�ans, <br /> ""PROPER'fY SURVEY required for aq NEW consVud;on. <br /> IIItliillitl [ liillllllitlllFi � lllllllilll [ lI1111llllllllllltllltii ! <br /> oiroctions: <br /> Filf out epplicaGOn Comp1¢leiy, <br /> �w7Qt&COMtaCtM Sipr1 back of appliCaliOn,nOlBrized <br /> If over t2500,a Notica oi Commenume�t is requlrad. (A/C upgrades over=760p� <br /> " Agent(for ehe contraclor)or power of Atlomey(for tAe pHmer)woulq be somoone wifh no�ariud letter/rom wyner eulFrorizing aame <br /> OVER THE COUNTER PERMtTTING (Frorst of Applicetion Only) <br /> Reroo(a if shingles Sewers Service UAB�tl¢s aC Fences(Ptot/3urveylFOaape) <br /> Orivewaya-NO1 over Countar If on pubNc roadways„needs ROW <br /> �oo��oo�d ssz� ZI�ZI E1�Z/9ZI�D :tuo�� <br />