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� a�saao-ooza �ity�f ZephyrhBlls Permit Applicafion Fax-813-780-0G21 <br /> �utlding Deparkmenf <br /> Date Rece��gc! � Phcs�se ConBact fmr P�rmlQt�r� �I� `''t�� — ���� <br /> Owe��r's P9ame l,.-Y 1� u�t� W ��ern�r Phot�e Aluon��R <br />� OWP18P°��i¢�C9P�;i3 '�I l!L� W � V��� � l • Bwrner Phon�PDumYser � � <br /> �e0 51mp1�Tl�l�hold�r Rf�me� �� � Ouun�r Phoe�e P9uflnb�r r� � <br /> Fee Si�npi�YItM�holder AdcBr�sss <br /> ,10��,CJ�itE�� �� ����� �J�' 11� �V'�- LOT�# �___�� <br /> �t9���iltS94RR �� ,�l..�Y�ttt� � PAFtC�L 1� �"'t��tS�"� 1 — ��J��`! �����" �4-�llt� <br /> (OBYAINED FROh9 PROPEtt1Y TAX NOTICE) <br /> tf����PR�F'OSE� , � �4EUU tOsvSYR 8 ADDtALT � SiG�I Q Q DEMOLlSM <br /> IN�TALL REPAIR <br />� ��o�c���o;u�� 0 s�e� 0 co�n� � o�r�E� <br />' T1fPE OF CO�I�TRUGYIOR9 Q ��OCK "' Q FRAME �� STEEL � <br /> i7ESCRi�litOit�4�1fl10�it Y �� r✓(,�`�� 1���(, l� <br /> �!![��lPdG�i�E 3�F�O�'A�@�� HEIGHT ��_� <br /> �8U!l.pil�G � � VALUATtON OF TOTA�.COPlS7f2UCTIO�V <br /> QELECTRIGA� � � AtvtP S�RVtCE � �F2CIGRESS ENERGY [� W.F2.E.C. <br /> �PLUNlBING �� ' <br /> QMECHANICAL $ V.A�UATlC1N OF MrGNAPiIGAl.iNSTALl.ATlQN <br /> �_� <br /> C]GA5 Q RQQF4NG � SPEGIALTY � OTHER <br /> F(N(SHED FLOQR ELEVATIONS ����'� � FLOOD ZONE AREA [�YES NO , <br /> � <br /> �ui���� ,_, � RE�GIST�ER DE Y/ N FEE CURF2EA Y/N <br /> SiGPdAiT'U�E <br /> I) <br /> �d+�ress � Ltcense# i � <br /> �Lg�T�I��� GO�PAtVY - <br /> �;C'���U�� � REGIS7ERED Y/ N .- FEE CURRE� Y/M <br /> ������ Ltcense# ��'"y <br /> � iJ <br /> ��u����a co���r �� �U��'1 1 �1� 1 ��—�Q 1!1 , <br /> ��������� REGIS7ERED Y J N FEE CURREP Y/ <br /> �a��� �� ����� i���sg� �..:��� - �t� �� � <br /> ������c�. ce����v <br /> �t���+���� REGI57ERED Y 1 (V hEE CURREP� . Y/fN � <br /> ,�dd��� ttcanse# �� � , <br /> O�P&�E� • C�1�F��Y . <br /> ��t`sR1A'�l9�E REGISTERED Y/ id., FEE CURREt� Y/N . <br /> �ie#¢�e�s� Licen5e# � � <br /> 6t�Si�lE&�9'iAl: Attaah(2)Plof Plans;.(2}sets of Buitding•Plans;{1)set of-Energy��orens;R-Q W Permit far nsw construc6on, <br /> Minlmum terr{10}working days after subrriitta(da#e. Requtred onsi#e,Canstnscf�on Pians;Stormwater Ptans vrl Siit Fence instailed, <br /> Sanitary Facfiitles&1 dumpster Site Wor6c Permit#or subdivisionsflarge projects <br /> CC9i1fl61��f�Ci� At#ach{3)compiete ssts of Sesitdlrig Plans ptus a i.ife Safety Page;('E}set af Energ}r F�rms.R-O-W P�mi4�n�r:eons#ruc#ian. <br /> idfinimum ten{10}wark9ng days af#er suhmlttai date. Required onsite,Constructlan Ptans,Stormvrater�'.=ns wI Sitt Fence instailed, <br /> , Sanitary FaaUities&1 dumpster.Site Work Permfk for all new projects.All commeraal requirements must rra�comptiance <br /> SIG�4 P'�t�tJFT Attactt{2)sets af Enginee[ed Pians.. . <br /> ""PROPERi'Y SURVEY required for at(NEW construction. <br /> l�trsc�lot�s: • - <br /> Ftii out appiicatlon completely. <br /> Owner&ConYrackor sign back of applicatlan,notarized � <br /> If avor�2a�d,�[��2tc�of�o�»m��c�ea�en�is r�a��le�d. {�,tG upge�des av�r$7500} <br /> " .=.-�����r the contractor)or Pbwar of Attamey(for the oumer)would be someone with notarized latter fram owner authorizng same <br /> ; =*�'`:��'3��,rZ P EF2145l1"Titdf {Front af Apptteation Only} <br /> �'�°�`'�`�� ��++°� 5ervice Upgradas A/C Fences(PIoUSurvey/Footage) <br /> ,---- , -- --.. "�r„` ��-.��:�_�..�'��;��_.s..n=_erls F20W <br /> ?t=.; . � ' . <br /> =„ <br /> ::bm;%}-?M�t����,i' ,� _, .. <br /> � ..., , .. � , ' , ' <br /> � �.� _ .. _-»..._«�_e._..,_�. ' _ ' _e._..__.�__�e.....«._ . .. <br />