Laserfiche WebLink
. .�..,�_ � uaru�icu�a a�o:�i aro�� r.uu� <br /> s��-�eo-oo2o Ciiy of 2ephyritills Permit Applicatlon Fax�13-780-0021 <br /> � • Buitding Depallment <br /> Dete Rec�ved phon�Cont�d for PermltU <br /> owners Name �S 1ZE'CAcl4 5'CoK.Es Owner Phone Num6�r� �32'�7 b -0«O <br /> p���� � FI�S '�'L1t?.P►,GJ00��'QLD(i►�, �W S 0't�4� p�ar Phona Number <br /> Fee SimpN Tltleholder Name Orm�r Phone Number <br /> I <br /> F�e S&nple 7'it[a�Nolda A�treas <br /> JOBADDRESS �-31�' (a4LL �I.vp� ZEP�YRNZu.s, Fl �QT� 0��0 <br /> SUBDMSION PARCEL ID� '?'.J�'�S"Z I'D000�Oi0300 �O�IO <br /> (�TAINED FRO�I PROPERiY TAX NOiIC� <br /> WORK PROPQSED e NEtN CONSTR� ADD/ALT G� SIGN [] [� DEMOUSH <br /> INSTALL REPAIR <br /> FROROS�D USE �] SFR C] COMM � OTHER <br /> 7YPE OF CONSTRUCi�I � BLOqC � FRAME �Q STEEL [� , <br /> DESCRIPTION OF WORK lN't�t�o►� ��I►+►oG�.l. CSQ��owAY � 64 5 S� <br /> BUILDINGSIZE I STar.y SQFOQTAGE 3��OZ H�IGHT �Ot <br /> OBUIIDING 3 V/1LUATION OF TOTAL CONSTRUCTIdN�pZ��+bd� <br /> []ELECTftICAL g AMP SEFiVICE Q PROGRESS ENk'R�Y Q W.R.E.C. <br /> QPUANBtNG = �O� <br /> OMECHANICAL S VALUATIQN OF MECHANIGAL INSTALLATION � J�� <br /> S ���5 <br /> Q� Q RaOFING Q SPECIALTY Q OT1iER � � /�.� <br /> FINISHED FLOOR E[�VATIONS FLO00 ZONE AREA QYES Np � <br /> �� <br /> BUILDER j�,���H�` 3�CR.�+-m:e yZ. �o�MIY Gz�'&W� �ewt��t NGti Co�+i4lk�Y <br /> SIGNATUt� aEasrett� Y/ N �cuaae� Y/R1 <br /> IfS( MAINN5T��ID1�S�tAStl[�4f'i- 3�IZ3lp Lit:9l�se�l C6L OS 9'�S'74 <br /> �����, � <br /> ELECTRtCIMI '� �t L��� COMPANY TCC — TI' � . ��� <br /> �z��� ��� REGI6TF�p Y/ N FEE CuRREA /N <br /> �d�y`` S.Sii2 s�cn �L 3. 7G � u�e� I 3 <br /> PLUMBER �� � � Cp�p� <br /> S�a��� RE(ilsTeRED Y/ N FR�cuRREI, Y/N <br /> Addreaa I Licen59 f{ �� <br /> �a�ic� T�,�D ��� corwa�wr <br /> S�'�N� rtEG�sTgqm Y/ N FEE CuaREn Y/N <br /> Addte�S I LICArue fl <br /> �� CGMPAIJY <br /> 5���� ��� Y! N FEECURPoE� Y/N <br /> Addrese I L(canse# <br /> 1111111111IIIIIl1I111111111111111111�' 111111111111I1111111111111fA � 11 <br /> RE.4tdEMUL Adach(2}Plo!P�ns;(2)sets o1 B�Iding Plans;(1)sef of Energyr Forms;R-0-W Pennit tor new constn�tion, <br /> NBNmum t�(10)urorking deys after submittal data. Required onallB,Construcdon pl�s,3tormwat�Plans w/81p Fence insfalled, <br />� CanitonrFarJtlllee R�.I�w....��..-C:�..u�..�,o��u���_.a.xe_r___w_______.__._ <br />