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i <br /> 813-7804= Cily of Zephyrhlll3 Permit Application Fo"13-78o-0021 <br /> Budding Department <br /> i <br /> Date Recstod p i Conhid for Permkti — � <br /> --------------- <br /> Ownerls Nam The Peeples Family Corporation,Inc. owner theme Number <br /> O►meft Address 11 Sunnybrooke Trail Clyde,NC,28721 0ynW Phonic Number <br /> Fee SImple•Titlehoider Name I NIA Owner Phone Number <br /> Fee Simple 70dwWarAdd. NIA <br /> JOBADDRESS 5233 pall Blvd.Zephyritills,FL. LOT# <br /> SUBDIVISION PARCEL 108 11-26-21-0010-154004090 <br /> tOOWNED FROM IDN" rYTAXNOTIM <br /> WORK PROPOSI D NEW CONSTR ADDIALT Q SIGN 0 Q DEMOLM <br /> E3 (NWALL R REPAIR <br /> PROPOSED USE SFR COMM Q OTHER I KZMEDMArs—Ew <br /> TYPE OF CONSTRUCTION QR BLOCK FRAME p STEEL p <br /> DESCRWnON OF WORK EEctric Service For Florida DEP Funded,Temporary Groundwater Remediatlon System <br /> BUILDING SUE N/A SQ FOOTAGE N1A HEIGHT <br /> Q BuILDING s VALUATION OF TOTAL.CONSTRUCTION <br /> Duke Energy <br /> [56ELECTMCAL s -T 3 4 .sa AMP SERVICEZ0O Q Q W.R.E.C. <br /> =PLUMBING $ 71 <br /> =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION <br /> ®GAS Q ROOFING [] SPECIALTY ® OTHER <br /> i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY FRS evironmental remediatien Inc. DBA the FGS]Group <br /> SWNATURE '' "'; •_ 2 HKiISTERED Y/ N FE£CURrrEA LyjN <br /> Addms 120 E. Dr MLK Jr.Blvd.Tampa FI.33603 Lic nno <br /> ELECTRICIAN COMPANY . 14 A A JE A&W 1rEttS J 6T sal <br /> SIGNATURE REC48iEM I YIN FM CURM LY 1 N <br /> Addrose PC) a,&b Zr Q 33st3 ucenae# FE G oe ao s-7 1 <br /> PLUMBER COMPANY <br /> SIGNATURE MOWERED I Y/ N I FEE CUAM <br /> Address Cleanse# <br /> MECHANICAL COMPANY <br /> SIGNATURE FEMSTERM L Y/ N I FEE cuRm I YIN <br /> Address L kw"# <br /> 01"ER COMPANY <br /> "WGNATURE I L Y1 N FEECIri�ET YIN <br /> Address License# <br /> .RMDENTM Attach(2)Plot Plans;(2)eats of BWkUM Plane;(1)eet of Energy Forma;Ft O`W FiwmR fiD new ooatructlon, <br /> MWmum Ise(10)wa&ng days after mubaritW dates RwOW creeps,Conebumon Plans,StaniN tsr Plena wl SIR Fence hrli A <br /> Sarrftery Facilities&I dumpatnr,Sits Work Permit forsubdf*loimJlerpe prgeda <br /> COMMERCIAL Attach(2)oomplets sells of EUIdIng Plane pica a LITb Sd*PaW.(1)set of Energy Forma.R-O W PsanR for new=wkuc;nn. <br /> M M&W ten(10)wW ft days after submhd deb&. RequUed onsite,Construction Plwre,StommnW Plena w/SIR Fence installed, <br /> SmIlOW-Padiftiee&1 dumpatat:Site Wcrk Parmitfer all new proJecta.Al ownmec W Mufrmnw is must mast comoftnce <br /> SIGN Pizurf Aftu t(2)seta of Engineered Plan& <br /> PROPERTYSURVEY squired for el NEW o0nalrucUm. <br /> Dlroettoner <br /> Fill cut appt[cieon compLd*. <br /> Owner a Corttsmor albrL back of application,notarized <br /> H•awr$M.a Notice of Comffmnconim io mqulnwd. (ANC upgredse aver s7fiM <br /> Agant.(forthe aonbacW)•or Power of Attorney(for the ewer)would be admeone with rraterhmd letter from owner aulherWrig same <br /> OVER 7W.COUNTER PERUFMNM .(ocpy 0f=*acd Mulrsd) <br /> Rerobh-Ustringtes Seww3 Sendce Upgrades Alt: Fences(PloUsurvey/Foofts) <br /> Ddvwmyv-tM over Counterff on public madwaye..rtaada ROW <br />