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1� <br /> J�'sasaoazo City of Zephyrhiiis Permit Application Fax 813-78p-0021 <br /> . Bullding Depa►tment <br /> ,r� � ' <br /> Da@e Recelyed " ���.Phone�Goot�ct':for,+Psrmittin '- ��1�3 �i o�— ��y+� <br /> � ,. , . . <br /> , <br /> Owner's Name �✓�J� � � P"bwni�P ane um�er �� �'" �O��.��►j� ' <br /> Owner's Address �O . � ��f�� Owner Phone.Number� �� � <br /> ��T_ � � <br /> Fee 8ttnpts'[itletiotderName - � Owner Phane Numb�r <br /> Fee Simple 1'itishotder Addr�aa <br /> JOB ADBRESS `t�� � �', � ITL L L� LOT# �� <br /> suBo�vrsio� , �.� ' ___� � ��c��..�c� �11 � f� � �l,�l� <br /> • ,. . . (OBTAINEDF.RpM.PROPERTY,TAX'NOTICE) <br /> WORK PROPQSED •_�NEW CONSTR , ADDlAI:T C�� SIGN` '[� [� DEM4�ISH <br /> ,, e: iNSTALL. REPAIR . <br /> PROPOSED.USE [�� SFR [� COMM . E� OTHER ' <br /> TYPE OF GONSTRUCTiON.� :�" `r�'BI.00K r � FRAME ° '.[�' "S'TEEL 'O <br /> , ��.. �~� <br /> DESCRIPTiON OF WO�iC` �� �'!"'C - �a (� 1 v�" f�L� OC �f}7'7) O�li� <br /> BRliL1�lNG'°StZE=' ��' �'SQ_FOOTAG�,��: ..HEIGHT"':� <br /> ...�_ .,:. <br /> QBUlLQING �� V��AT10N�tOF'7'O'1'Al GONSii`#2F1G'1'ION ' � <br /> QEl.ECTRlC�1l. $ AtUIP 5ERitlCE. . :;Q '�PRC?GRESS ENERGY Q W.R.�:C. <br /> ��.� � - <br /> [�,]RLUMBING $ � ' , : , ' <br /> _ , :.�__��- , . . <br /> QMECHANICAL' < $ w� +��� �� Vi4LUA1'IONQF�,IUIECHANICALlIVSTALI:F►TIOIV. <br /> aL0 � � ° ' <br /> QGAS [� ROOFING .,[�; ;� S.P.,ECIALI'�Y,:�_];�,..;OTJiER�, .. <br /> FtiViSHED FI.00R Et�EVAT101VS (�—� ��OOD ZONE AREA ,QYES. .NO , <br /> � ��,;::.,..�•,. � . <br /> ,.2 -- .,{., ,;,. :�.; <br /> BUILDER COMPANY". _.... .,�:1;. ` . �-�. . _ � - <br /> SIGNATURE REGI$TEREO Y/ N �"`°'FEE CURRE�.� 'Y'/'N' <br /> Address ,.:. 5; #N.:r . ,�#: ,4 r��L'iceinse;#!'� t��=y, �,,, . _ � , . � <br /> �•.. <br /> � � � .__ . ,�.�.'-_-- , .,, ,� :,;, ��� . ;� � . � . .,. . , . , , <br /> El.ECTFttClAt+t: _ . , ,,. - ��GOMPANY�: ;,_�:. ;;,:fi�� .-,.;y:, ,_;� :.; = � .. ; . , , <br /> SiGNATURE� � ��ts7�En Y/ N �eu��y{ ==Y!�N ' <br /> ,. , � ,< _. , '�> ... � - ., "�t,t�: ` ; ` :.. ;...:(,',."��- �. .� . . - � <br /> Actdre�s " " ' ` . t�,�tcsnse:#,(= = _ . :f=,. <br /> - . .. . .. . `yj <br /> _ �. � t" ;..�,� . „ _: : �. -. ; . � ,. � <br /> PLUN}BER�` ' , -, � ,, GOlM1PAfNY, r �,.F.,.,,;�,. T: ..7 ,. :< :�� :.� ,. _._., <br /> SIGNATUiZE`' '`' " - � . . '�REOiST,ERED .Y,/a IV,; �,FEE;CURREP.�� ^Y.�I.N ,. ` <br /> . . ,. ., , . <br /> �ddre�s � , _ '` " � ,�[c�nse�#� �t.: _ ,�.. ��� <br /> ... .. ,. .. "' :1:.Y� �....� <br /> i , a- .� ' / Z"1... ,ti ` •l <br /> MECHANIGAL` �� - ;������� �. GQM�ANII. � .�G. . L� �G <br /> StGNA1'URE� �..�� ' IZEGISTETtED . Y/ iV � ,FEE CURREt�:,. �Y I<�N:.. , <br /> ,,...�; ,...-:.,. - , .. ..,. .' .. � ,�m; .. . , x":�:;�,,..;.:,,. :< ... .. ;�.' . <br /> A������:- :���r; =�1��°z � - ;�—�1� �.�� � � � � � ���ss#�������� ����.:� �I � . <br /> . ... <br /> . . . . _ ., ,. - <br /> __. . . .. . : , . - a�-� ,. <br /> ostt�� �,�� .: _ - _ . _ . .,� . . , .. ::� . .:, :coM�r�+ixY� " . � `� =:��:::..: � ' , . - <br /> S1GNA'fURE�, .:- - en r�:- .'.-�. ;- ,.•, - •, , _ :Q ,p"=' . , , - . <br /> 'REGISfERED Y/`N:..� ;FEE'CURRER�• Y'/N <br /> ..�it,'''V.tr .47u, ,,� :)�-�. -.., ,. .. . . - -. ... .. ._ ',. a..r .. ,<. ' � . ' ' �1 <br /> riYiF� a"It�4•`%'• i.Ji„:z :sl• _ . ...'�� t�Vt�t4 . � �L4���$Tl'�9�� � �� � <br /> :}3" :.�':• -� <br /> ' . '. .��:„„ry .s•• 1•�-, -.'�. ... .. . .....: r _ _ , . ' <br /> 'bi � ._ . �� t r.-s.•M,<' � . <br /> 'RESIDEN°fllAl:�;,,..,;Attacti,:(2),�?(ot.Plalris;:(2)sefs_of'BuiltlErig�Plari's;'('1�}sef'of<Eneigq�Fo`rii�`s;xR=0=V1f�Pensilt#ornewrccin'stntatiori, <br /> r� b;e,;E�Minimum,.ten,(10}�wori�ing�deyys:after�svbmiFtal:datel::Requlred arisite;:GiSnstiuctlon`Pians,�8totrriwater�Plan's w%�Silt Fence installed,--' - <br /> "' � �Sanitary FacillUes 4&;,1:,dumpster•�Site°.W,orkyPermitr#oe:suti�ivislons/larg"e,�proJects�`�' ;�;��,: = `�'a'' _ .. - • "�' , <br /> }' ' " .{,i�r.G.'r q • - F.F:�: .tn:.^.�Fr' <br /> -Wr.�:" `. • �-., :7• ' :: `� . , <br /> CQMMERCtAl. Attach{3)'coiiijiletia'sets'of'Biiitding Plaiis pius a Ufe Sat'ety'Pagie;{'i)set of�Enetgy Fomis.R C?-1tV Petmlttor neuV construetton.-'�_ ' <br /> Minimum#en(10)working days after submittal da#e. Required onsite,Construction Plane,&tormwater Plans w/Silt Fence Instalted, <br /> Sanitary Fecilt�es 1i 1 dumpster.Slte Wark Pormit for all new�praj�iofs:.:All commercial.t'e!quir.ements,must meet compliance "} � <br /> .SlGN PERMlT AttaeFi{2j sats of`Eing[neer"�d;Pta�is:�,�:�v^�.,, .. �.3: t�,. .. • . . , ° ' r <br /> NNPROPER'fY SUR1/EY required for eil NEW,aanstructl'on.. ,. _ � ,e�:�. • <br /> Dlrectians: .•��:;fk+:.x:u .- -- ,_ - ,. _ <br /> Fili out appllcadon compieteiy. <br /> Owner&Contractar sign back.of applfcaGon,nat�dzed <br /> If aver�tS00,,.a,Nottcs;of�ommencemen#Is reqalrsd, {AtC npgrade�over 3T�00) , .. <br /> �R •''`.Yy��P`tti J'�,;�j�r ' .. <br /> Agent(far the`contractor)or'Power of Atkortiey(fair the owner)would be�someone with notarized lette��u±m�u a' n �sa��� �' ,. .. . <br /> OVERTFtE.CGIiNTEE��ERN11T:�fNt�SbS3�{��5�(j(�pT'���OF1�} ""-' " •� 3 i�itf ji1']HJ 47��4i.�T� :�4r.'+�ti��t� <br /> r� �S':......,r`. <br /> Reroofs if shingles Sewers�"`�j•''�O�Serii��o�'�pgrade���A'/,'G�^<,�. �nces(PIoUSurvey/Footage) r,±�;�.��?rn:s1�:9�:• ;°���^�:'+;:+�%uv� `''� <br /> ;,�'. ,`'11'. <br /> �o�=, � <br /> iN�n��;.-i::..�:E:G..:-:i7,r.lJ�-t�.:F:zUk2. ,v:,�f",fp e ,'�u. .'Ir �t t�JL'r°T��p 1�ei=�'I1�1 d`=r J � <br /> '�' ��_ry ec!'J ;,,�.�'% - , - : ' ' `rtY �#.� - - � .._ <br /> Drtvsways-Nato eFOoufitei:tfdn�pdt�ti����r�ay�`:�e �s,RQ t y* � � a��'�1'�'� ��,����iXM1: <br /> �i � ��'.Yf��kt 1 ��:7i.�{i�f:.J53� �Y1 <br /> !�4;:eZ�eu s:� ��ur�?2t1ri�rto� �;,ly���Nga":�; ,,:�;;��,.t'sv'���•i,.�:t"h5��r.ss ��,� � <br /> I :, �� ''a �^.a i i-.^t_r,; <br /> 0;2�?1�!6lL�''�C.'.�j°i,y":i1i2C9.�"�i�11?!il� v.i�r.ie� �.c.�;�a�Sty�"if�%x�=tt¢+'�x�'`��"='"+.�'k='�S�IT�`"•y�'s's,aJ(p.�if,."t: <br />