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T <br /> � . <br /> 813-780-0020 City oi Zephyrhilis Permit Application Fax�13-780-0021 <br /> BwlUing Oepa�menl �-. <br /> �13 � f�3' ��1�� <br /> DMaRocotvod � phoneContactfnrPermfttin 4�9 ) 877 _3499 <br /> -ic-7'1•7'YT'T'T' <br /> OwneYs Nama Radiant GrouG,lLC Umer Phone Num6er 613-918-1963 <br /> Ownors Addross 7320 E 91h Ave,Tampa,FL 33605 Ownar Phone Number ._� <br /> Fee Simple TiUe�older Name � .�� Owner Phone Numher <br /> Fee Simpla TiUehvlder Address � <br /> JOB ADDRESS 6512 Gall Blvd LOT if � <br /> SUBD�NSION PARCEL IDt� `., `- "�'t r :�:;nn:� oai a <br /> (08iAIN W FR�'.1 PROPERTY TAX NOTIL�) � <br /> WORK PROPOSED B NE1Y CANSTR e A�DlALT � SIGN O � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUS£ [� SFR Q COMM � OTHER ano ;d�s ensers; s <br /> IYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> OESCRIPTION OF WORK Inslall�tion oi a new fuel canopy;inslallation o((6}dispensers;insiallation oi(2)UST's;all fue{piping <br /> BUILDING512E "'i3 SQf00TAGE � '��� HEIGHi � <br /> "1"I"T1�I�TTrrlTTTRT/�Tf"1"fIT1"TTI'7TrTIT7�T�. tITPPY'rlTTrrTI"1"fTTe"t"rrY'rT� <br /> �LJILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> �ELECTRICAL S AMP SERVICE Q PROGRE55 ENERGY Q W.R.E.C. <br /> QPLUM9ING 5 <br /> � �� �.�y <br /> QMECHANICAL S VA�UATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �/v-' �1� <br /> FINISHED FLOOR ELEVA710NS FLpOD ZONE AREA QYES NO <br /> � y <br /> �.-..�:.1 1-�1�' 1 1 I i 7 'i.� - - - N-�iTri-r <br /> BUILDER /� COMPANY � L�1/b1) �Z-b�li • EC" <br /> SIGNATURE Lv' tL ReGISTR°D Y I N FEE CUfiREt� Y/N <br /> _Atltlress License� <br /> � t��I� <br /> � .i"'" - 7 <br /> ;•�;� � '� ELECTRIClAN �� COMPANY tr. r���'���", <br /> V '; t��� ; SIGNATURE RcGI57ERED YI N FEEC:IRRE� Y!N .S. <br /> �,� • Address Licen;e� ��� _� <br /> • �._.v- <br /> PLUMBER COMPANY <br /> SIGNATURE REGI37ERED Y I fv FEc CUFL7E� Y 1 N <br /> qddress �ic¢nse p <br /> MECHAMCAL COMPANY <br /> SIGNATURE FEG�STERE'J Y! N FEE CURRE� Y/N <br /> Address License e <br /> OTHER CpMPANY � <br /> SIGNATURE FtEGIS7ERE0 Y!N FEECURRE� Y!N <br /> dddress Licc,nse# <br /> i7G176f1liTilI1111flili1t11171011li ? 1p111113111111ff91i11it0 ( I3lfll ' <br /> RESIUENT1dL Attach(2)Piot Plans;(2)sets af Buifdng Plans;(1)set e(Energy homts;R-U-W Pertnit!or new const�uctio�, <br /> Mnimum ten(5�)vrorking days aRe�submtttal date. Req�red onsite.Cansauclion Plans.Storm�rafer Plans w!S�t Fence insfalled, <br /> SBtlitary Faalltles$1 dump5tef;Si1e Work Permitforsubdivisions/large projects <br /> COMMERCIAL Atlath�2)camplete sets of Building Plans plus a Life Salety Page;(1)set oi Energy Forms.R-0-W Permit Tor naw construCion. <br /> M�imum ten(10)wwking days efter su0mipel date. Requiretl msite,Coretruction Plans,Stormwater Plans v�/S�lt Fence insYalled, <br /> Santtary Fac�Yties&7 dumpster Site Work Pertnil for all new projects.All crommercial requireme�rts mus[meet compdance <br /> SIGN PERMIT Atta�(2}sets of Engineered Plans. <br /> ""PROPERTY SURVEY required tor eii NEtv construction. <br /> �..�-' S-a-s-i..1_:-.-.-.-.�-..r� <br /> Oirections: , <br /> Fi9 out epplfcafion completely. <br /> Qwnet 8 Contractor sign back ot apqical'ron,rrotarized � <br /> If over 52500,m Notice o}CommencemBnt is requlrnd. (AIC upgfades over S750U� <br /> " Agent(for tfie conVactor)or Po,mer of Attamey(for the amel)would be Someone with notadzed letler from ownef authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of conUact raquire0) <br /> Reraafs if shinqles Se�vers Service Upgrades A1C Fenees(PIoUSwveylFootege) <br /> Drlreways-Not nwr Counler if on puhlfc roadvrays..needs ROW <br /> � <br />