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813-7804M City of Zephyrhifls Permit Application Fax-813-7e0-0021 <br /> oam eeoenvd dxrom cwtm!a fur.; T 3 <br /> orrne�sAiddrasii a ri± M b r:_`�- <br /> Fee Si rpk+7Ftldiold xi�IriQ` O n erphone lisle ' <br /> Feee Simple rrlienolder Address - <br /> LOT <br /> JOB <br /> PARCIL <br /> ._SUBMWUMN <br /> 7.rA�E71 F"pltopmff!pl f ttOfiafil <br /> Wortrc m nEwraxn aura <br /> INSTALL..::: -. REPAIR::.. ' <br /> 8' <br /> rr : ..; Ep':.:aFR .,-: ..',Cf . ;cxiMlrl;: (��.=. OTHER.: ._:_ <br /> TWE OF?!4STRVCT= :M BLOCK'"`jp r RnME,.: .' -STET t <br /> DESdMV,fiON OPW6Rk: <br /> ILDING '• 2�' ] S�t'i .t i <br /> BU SIZE 1("" I.S4 FG0TAt3E }fE1GHT <br /> 0 V4l*'nON OFWW.'*ONSTRUCTtQN' <br /> �FL ECTRICAL (— SERVICE [_ PROGRESS ENERGY W.R.E.C. <br /> (�. <br /> CHANICAL 3 V MECHANICAL INSTALLATION - <br /> QCAB 'Q . ROOFING .0 .-_SPECIALTY r_ OTHER;. <br /> • <br /> FINISHED FLOOR EMVATIOW FLOOD ZONE AREA AYES NO <br /> BUILDER 1 COMPANY. <br /> SIGNATURE �. YIN FEE txJRREI Y!N <br /> Addresd r LiQeiise#. 7__ <br /> ELEC7tliCtlWCILtMPANY.. <br /> SMMTURE 1 ..rtEotsriRm Y N' FEE,CURM <br /> Address. Lii ease# <br /> SIGNATURE' ,,.. _ <br /> MBER • C01dP <br /> • <br /> l►N1f <br /> • ttEOISTEIttD.•, Y/N. F�t�rtEn :YIN- <br /> Addtcss- Llcerese#:. - <br /> MEcwsNWAt: coaPAllr �s v.2�a .._ ,� <br /> SlGirw1AT171 :' Wdillttt2kED -1-N. Ea . ;., ,:YIN T <br /> orrmt coliPnMr., ,r <br /> SIGNATilriE :... . .- <br /> REorsTFazEa. Y.-N. FEE BEN Y I N <br /> AC Lia"MiE <br /> I I C1 i 1 I i 1•.e-ta_1=1 !#i;i'I"!!;1<F/=(f 11-#.i;'i,;t I,Lt-I:ist 1 i.1..1•i l;f,la I.1.4-1-4 ii,1:;11_1 I:1-1.L1'.1`1-1`fli 1f <br /> RESLDEfdTLIAL ftitaclr`Cl}:Prat Lis;{2}S*jatsldng set d.Ettargy Ftsrms:R O W Peiruik tot reW consfrudror+,.. s <br /> Minimi+m ten(tQ)working days Ear sub inipal data:Lie,u,ed otfsit9,C,orrstnbiciri Pieris.Stanr later RFansv+/SiICFerae.mstatk4 { <br /> emery FaeiHtiaa a..j dumpstar,Site Work Permit tar Suhdi large Aroleats <br /> Ci1i1MERCEA! . AMM(2)ooVrrp te.sels d8a y.Pte +pGrs e i Era�artWY P? (1)Set af Energy Forms.R-O-W Permit tar new construdion. <br /> AffisErsumt lskr{!Q? �aLEersa4i[triktal die_.Regir3Fed.arisile,Consttrdion Plans,Stotttnvalsr.Piatrs ig1811t Fence kistsfied; ' <br /> Setr ijr_adi>its.81-dunpstgr: taW6rkPermit.fonalltwv✓Prale#s Ai'coisar .r must meetcbrnp!iinte <br /> SIGN PERMIT Attadr.(�sets oFErpi4eenad'PMts; <br /> •PROPERTI/SURVEYnagttired.faraNNEW=muucdf r, <br /> Otnee�rrs. . <br /> nil out appucaton oornPmw. <br /> awrier&Codha srgn ba*of M*cok n,nWaimed. <br /> K aver$200,a Notfce of Caner mmerned Is-rcquk4ML (Aft;upgrades ow3r$75A0) <br /> Age(for the oontracfcrj or Power of ACarney(foFirie Darns`)wound be Someone With not3dwd letter from owner autxxong same ' <br /> OVER THE COUNTER PERMIT IMI ..:(ct pY o(ccr!bac�rer{ttEted),-- - I <br /> Reroofs if shingles Sewers SeiVlce'[fPgtades AtC' 'Fetiaes WbUSurveglFootage) <br /> Dtlaorrays Not trver Camterif on pubNc roadways-needs ROW <br />