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at�7L)o za City of Zephyrh!Hs Permit Application Fax-813-780-0021 <br /> Date Reoelved Phm Contidfor • ' 7O rn <br /> owner's.Name Number <br /> cwna's lkidrass DCr� ' ..L%ff)K.;f G - aiirt er Pha»Number <br /> Fee Sbipie rm ehoiw r items' L � •^ a Phone IJmsber L•. . - <br /> FYe sLrtgrbe T�talder Address I <br /> ,we ADDRESS 1 / LG =•.'.. LOT <br /> _ r . .: ... ._. :'.::;. lass'�atatritwrPru�tesr►t�x�±ortcEl '- i <br /> WORK PROPOSED itsw ADD/a r Q:. `stc i 0- 0. DEh4OL:IS <br /> .. INSTALS:; REPAIR; <br /> PROPOSEDUSlS ..`.: `'0 ':SFR::.. <br /> TYPE.OF:COMSTRU.CRON. ° _ "aLOCK. :.Q FRAA4E .'' .STEEL - <br /> DEscRiroi:woR:c .. � c (� '• ����e� �zrrm vxlt? S •. � 7' ."... :: i <br /> euluaNfa s¢E ' ' <br /> sa PoaraoE HEWif <br /> aulLOlwG . , a <br /> OF-TOTAL CONSTRUCTION." • <br /> El ECTRICJU' ;g <br /> AMP SERVICE,; .;PROGRESS ENERGY Q W.RE.C. <br /> I <br /> QPLUMaING <br /> MECHANICAL 5 VALUAnoN.OF MEOW eAL INSTALLATION <br /> r <br /> QGAS OOFING _0: . SPECIALTY <br /> C� - aft, <br /> FINISHED FLOOR ELEVATSONS ( FLOOD ZONE AREA AYES NO <br /> BUILDER i f COMPANY; - <br /> SlGNATURtsAEGIsnMD I Y1 N: FEE CUMM. Y I N 1. <br /> Address License# <br /> ELECTRfOWN COMPANY. .., <br /> SIGNATURE � �-...REtesrEREo. YIN PEE CURREt.�Y!•N Jr-- <br /> A LIt arse:# <br /> 77 <br /> PLUMBER COMPANY._. 1 <br /> SIGNATURE <br /> Y7 N :sEECUrotH'- I N' j <br /> Address. LLaelse#i <br /> 1lECHANIGAL y��1?I.e. i }� WMPAN1f Lei �ds7iQ �l.7ltcr � G <br /> SIGNATURE REdSt ERH3•. y:�= •: .: Yd N . <br /> OTHER `coN�;wr <br /> SIGNATURE REer IUM I Y/N: .FEE0jRREn.Y. I Y!N 1. <br /> Address _ - :ticettse�i : , <br /> ItI,,L1;L.L1:1 l.1,1 I ! I <br /> RESIDENTIAL Attach'(2)PtOtPtars'C!}setsatB�cildoigPtaris;(4)seiafFsserpy!Fostr�s.R tPeimiftzxnewacnsUutsion.: - <br /> Ninuitum tert'(1p)watidrtgdays after stdrmrtMi date. RegUaed ansita.{bn cii'Plans.Starmwater P wI S1lt Fence insteik4- <br /> Smwanr Faciiith�a 1 der,Situ Week Pwm�fat suhdiVlskNSRarpe Prof � <br /> COMMERCUW Atfaoh i2) PWete.Set6 o[•BtiioFpp Putts PWS a:tXa Sgfety Pape:(t)set of F py Forms.R-GW Pam*for raw ecru u n. <br /> Nit6nutt tea(10)wasidtSj days atsa6rigttai data.'Resjtdsed:Ossim,C Plerts;.8wrrrruvadar Plans w/S!c Feriae instaueO <br /> SartiteijgFaaTities.8 i:dunpstar:�a Wont Periruftoi•aU new projads.ASI'mmrrieraial tegnitaments.irieut meet compliaiu;e <br /> SIGN PERMIT Attach(2) of 6ipirseered Plans.: _ <br /> '"PROPERTY SURVEY• t requined.foca0 NEW catstrtuCat_ <br /> Dlrectiorrs: <br /> Fill out apoi atbn completely. <br /> Owner&Contractor sign back d ,n ftftd- <br /> Newer�,a Notice of n4nirad• (AtC over iTSpoj i <br /> 'Agent(far the coetrai*o or Prnrer of Attorney(for"owner)w.W be someixte with notarized letter trim owner aut}tOdit same" <br /> OVERTHE COUMM PERMIT ING (copy.o(aoniratx recptirsd) <br /> Raracfa Astangles Sewets' . Servioe;Upgradas,'A!C Fences(PIoYStsvey/Foofage}' <br /> Drtveways-NatOver Cautter If an pUWiC tpadw,ry5 needs ROW i <br /> I <br /> i <br />