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813-790:0020 City of Zephyrhiils=Permit Application Fax-s.13.7eao021
<br /> Building.Department'
<br /> Daei Yteceivtid Y ;Phone Corstsetcfor.-.PerMittin t'• / =-4
<br /> .Owner' ,NaMer
<br /> :P :.:>.: .,' '.• :: ew`Pfione_�Iumbee-':`Own "�'��•cy=�i2.-':
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<br /> :,,Owner"sAddress 60! � 'c�'� •��� � $• �Ownar-Pkori� um _ _ - '
<br /> • •. ... .. tjv�'iiAw`phon®1�lirmb®t''�� �.
<br /> SUBDIVISION;
<br /> .. ;toeteuNEeRoMxtRorEjtnzndE1Y
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<br /> WOf K,PROPOSED<,. W'Q0Ntr !A",y�'/A' .. - `,
<br /> INSTALL:. :K.EpAtR'• .
<br /> PROPOSED USE. $FR:i_
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<br /> . ��L ��K :FRAME:• "StEE•...' rYPE`O�.CONS�I2U�•;1'ION`�• -•°- O.0 -
<br /> E$0RIpTIAN bP.-W I21G.' A6
<br /> ::f�_�/ids'/a?
<br /> :BUILDING•SIZE SD,FOOTAGE
<br /> : ... 0® VALUATION•OFC, 4';CONS7Rt)CTI�N�' '< ,
<br /> ELECTRICAL.. $,. AM 'SERVICE. DUKE:,EIVERGY�::
<br /> OLUMBING
<br /> QMECHANICAL $ VALUATION OF MECHANICAL•--it,STALtATION.. '
<br /> :®GAS ROOFING.:., -..,SPEPIAL7. .•��„�; ..OTHER_-. .
<br /> FINISHED.FLbOR>ELEVATION5= - r:'i �LOOZONE:JIREA- ".' :' YES'. NO -
<br /> :BUILDER COMPANY,
<br /> SIGNATURE .REGisYRE=o; ?Y'/rN; ;:fFiEsCURREKr.,'�y LOUR a1
<br /> ICddress': , ,. .. •:.License:#� -, .. �,z�.
<br /> ELECTRICIAN,
<br /> 81GNATUI2E :. _ "'Y ca a
<br /> %REGISTR�'D: F, lrN::: :.:,FEE,: %`N
<br /> :Address e'#
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<br /> PL"UMBER' ;COM(�dNY_ . .
<br /> SIGNATURE. y r:.,. ,... tf '„ t. ,•.•.
<br /> :RtGtiS�E26: Y%'N-"°• : EE',CURRER:;: w /�1�L :'
<br /> ..Address:
<br /> ME�HANiCAL '�COMPb1idY -
<br /> SIGF)AfiU1tE"' REGI3Tl:RED N? J.fEE;GURREK�'•'�'.:'` :Y/.N:::.
<br /> ,
<br /> Address,.;
<br /> OTFIER>: CQMPANY;' .W.
<br /> SIG ATUitE;. `.;RECI IERED . .. rY/k'N::5 FEE,C.URR�Ef,�rF:�.
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<br /> Addles$: 4LJ 9AyFii x..a
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<br /> RESIGEN'rfAt' =Att sh r .I. ,•. . a 4�. ( ), (Q' ;.,.... ,�! • �.•
<br /> !h•�;J�l� �031�� 'yb• .!✓t � a. ✓t^ r'' x t ,,.
<br /> nf�Yl(ifYheriten; 1.l) ' orkii' cfa saffer_sC�brltl at :�;R '(re ,or�s�.t ; ons�ttcdaii•Plans;`Sorateft'term":ir.spt.t=e�lce.rnsCallsal;`'
<br /> . Sanitary.Facilities:8ytttintpster;ySife:Wotk?PerMitTd��s�dtlii's�on3t7�_tgs��prc)�cts' "-
<br /> Ch:2 coin"fete;sets'+of.Bii I.d[ Pia:'" (tisa: f' t?age 1)':3 Y°oEiEnergy°For�ns�:I2-0=W Pdm11tmr,+netnr 5fr ctlon.,,,
<br /> COMMERCIAL •Atta ,(.)., p I..17$, ep, rf � it
<br /> w ikl�ry:tie."':after-"tltitrtE h ste;;, reiJ'e`nslie:co»structioii; iisj<<SoniiwaerlA'wiglltRersleu%ltaiied.,
<br /> Mlnimum:tolt(1A),,6. pd A
<br /> .Y. 4tN3:L,-
<br /> Sa'It*y f=ae9IITW` 1'iurrt s�f�FY:SI flor�c l� rniit+'t?ora1l:newiiprcJeels:All commeremrequlrei»Brit!ind('irieeEco7 ip11anc '
<br /> SIGN PERMIT' Altacli'(2)'setsrofAngi„e®tBI:1?IaiS;
<br /> •"*pRGPt:R7 ,S�iqVEY irequifed for aItN�W cohsWction.
<br /> Directions: .
<br /> :Fill out application:completely.
<br /> 'Own&r��?'Co'rfti�ctorsign;�ack'of�a�plfcafion,notarized. -
<br /> If dvi�rS25b0;a:Notica:ofComiriaricem�®nta$ ®quined: (AIC upgrades over.$7500)
<br /> •• Agent(fotthe=contractor)or:Powectof Attomey;(fbr tfie o lner):would tie.someone.withnoied' d.,lettey frtlm-owneP,authbd;dho same:
<br /> OVER TIDE COIiNTER:PERMITTING; (colt of conl► 7equtred);•
<br /> Reroofstfsliingles Sewers ServlreUpgiades A/C:'' ''Feni;es'iPfoUSurvey/Footage)
<br /> Driveways;-Not over Counter if on.public roadways.:needs ROW
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