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__ ;. •: oi efi Aso-ao2o City of Zephylfiills Permit•Application Fax-813-780-0021 <br /> �.,. ... <br /> -Build[rlg.Deparitt ent�. <br /> is y <br /> ,;�-•.•, ttt ,Phone..LOntaot.1V {ttin <br /> ... :L;= ..r„.i:,, r,. .',. . •au:. SS :N: _};•.;»,.:'.,:s. - ;:(,. - n.,,+{ - rt J.. ,..y,4,..: Yi-,- <br /> e .r.`^' R3a?�'t"-'!r i'.• 7 't„ems:;:;..yr>.:• ..t +•r;:W::^.;,'. �. <br /> .,. - .. , It .. .31.. �'t'.c� ,y r,�'"ic••,:5;.,i�-, 1^Gr e, :;: <br /> Owner'a.Narrie s -Aft <br /> K•" f <br /> ; ;'Ow,net�f?:Foa:Ntbsri, <br /> t'.., ri: ;•. ,':• <br /> n <br /> �U <br /> 3. <br /> �g <`C' <br /> I <br /> Ownsr"s'AiI.i�it'ss� �-7 .�0 ,ir: �• ;ef�yC�hod^Nt111#tier'" �' ;'•: , :`��..�. <br /> Fee''Elrri 1e'ifiUeFiiilrler'Narine <.:,'i - P P Owner h'orie; lunptier•;f: : :�:: <br /> ,,.' <br /> - <br /> Jti ,.t at <br /> `Fee Siri'tpli:?itleholde�'Atli�"r®ss" . ,i`r y r, t_ .�� • <br /> 3"i 'r.:s '.ram%:ti, ii?:• . _ .'+•v.`:T .{.-- e.1' '-t> -a; y� a,. <br /> .roB>AD ti;aESs fT-' .�d��� <br /> n <br /> • "f- <br /> , <br /> ,•r <br /> *�f.LrJP GI ,/d «. <br /> SUBDIVISION �., �/. cr-. �} 4P - Z I 00 ' <br /> I,,. :1: �RCEL 1 ; G p r:, <br /> .., , _>.: -. J . , =(08 AIPlED`..Ff't0"`PROPERY�F,,•�+iNQ7iGE: -, <br /> WORWPR`POSED ��' -,: - <br /> . O ,. ..•�.NEW CON.STR: �:t::ADD(Ats�i _ _„�._.r�• �,SIGi�'^<:�' DEII7IOEISN''-.. i: . <br /> a:' .,'r': INSTAI:L,:.•_ . RE_,AI :: <br /> =i' ;,'�; <br /> PRQP SE SE r:;. .r` .. <br /> O D U -SCR". t t:�:;,, <:4��•- <br /> s{ _ t� ,.l'' `•M"" -R.:4. .:;F,, .�.y;. •:K..,.r.,,r,.�.+Kc+�;.vv.,. <br /> Tl( NSTItUCIOIJ BLOC t •- <br /> ,, ��,J/� ,�r <br /> j, <br /> DESG��IP,' 0�-'�IORK` ,,'� r�`l�- <br /> BUI I VSIZE I;D N S.Q,F�OTAG HE(d., <br /> JRB UIL 'IN <br /> ., ALUATION:OF,II;OTA1s�ONST12lJCT ON:.'• e't t; <br /> L <br /> .r71 <br /> �R <br /> ,t Mfg SERUiCE:• .0 pRQGR SS ENE)2G1!': =111/: `t=: c'• <br /> , - <br /> r: <br /> Q,IVIECHAtViCAL VALUA€tON;`OF'MECHANICA1L'1ii��,,,,'�i`A1LAI I&W,," } <br /> GAS ROOFING ,r:� ;SPEGy4trf}t ,:k; OTHER,;=,: <br /> C�' ,C�. C�:. .,. _ .tom;-�'��'� _ - <br /> FINISMEd 1=LbOR:-EL�VA'IQNS PLODIS'ZCENAEtfk <br /> .', <br /> Noise! <br /> illis ... <br /> 'BUILDER <br /> �% 'Q:>•�^�' f{',j��'•.'�.1 iy its:..r 'l''L;_ 'r:-y <br /> SIGNATURE si: ? ;it�G157EIttS'° r , tit,.;:;,; r'y URh •�...'. rY<f)N' :":' <br /> 57 <br /> o J. <br /> A-•dr'" :''� >Pr; _t�a''p_risd-#� -:�, �r: �' ,-,`,r <br /> ELECTMCfAN'?,. ,t ._.v.00M0ANY:;, <br /> SIGNATURt: :F: : ;:.., : >. ::v:.�:t . _ ;RtcfaMS7EEtED . - , >YkrN <br /> . <br /> -A are Lips <br /> S 4,� <br /> 'r� r;= 1F: z'•�'�ri',''e'.=s�3 �,•,'r - r»,-' •.�:> :�;'Yi. <br /> , <br /> P.LUMBER.' r::•., GQMPANY':;_�Y 'r,::�:: �;r: x s+ ';._ <br /> SIGNtg <br /> ATURE. :,_, aEEls, <br /> t <br /> S.. <br /> r <br /> ter.,N ti" e=Ad ress.d co s <br /> 0 <br /> i <br /> MECHMICAL <br /> i3 .tam: Xti•'-.... `{^ `'r ^r•:1�-'�{'1....h i� '?.;f.. <br /> =:Y/N. <br /> , <br /> • <br /> OTHER 'CdMPANY; <br /> V _ vF. .� <br /> IGNA'�URE`' ''R��Is�r��ar�' 'i�lf/f'�[`--::"S , �'FEE'CItRFtEn"�:. <br /> dress <br /> .,,i.' f•YJ:- <br /> ' .: <br /> •}yc`itY -'fj :�:, •w>.• ark' q 4"."• :' 'r+' <br /> ESI ENTiAL AttacSiy t?ldtP.:lans=' 2"es:Of�Bu)tdihaErs'u fi' ft3Pti o 's t R D ( ) r(.).... ,.:,8.;,. :e 4. .. !;?_.: M.,re ,. :-v <br /> Minimum'ten.(70),:wor♦ctngdays.aftecsubmittat:date. Required:orsite;..Constru*. Rlans,'Stb iv7ateiPlpr� �u�/Silt Oncerl talltf} =;' <br /> SanitaryFactiities&-l-durhpster.;Siti:W":Pbniiit,fox_s6bdtvlstfirisllarge.pniJects - ;+ <br /> COMMERCIAL Attach-.(2)corn late sete,bf.-Bulldl giPtans-pTussa,is fe S eij7<P�e' a;`(1;)setofEnergy:Farrns.;}Z;O,W Permit-fbr:new�tStSfitivcNbrr s <br /> v. •Sh <br /> Mlnlmum ten(`90)'wo"rjiiirB�days':� e�s��i►�`�t :�t'�':`4"Rifi'tfe�`i�h•slte;,�nstniction�l�hs;'�t�ttirtiN�ter'7'�t�lans�Wi;$il�.�,Pii3'�%i�,�,�1�iste"lled, + • <br /> S nit ry Fa lii es&1#,dum�W�{(er:SJte Worf a ilf fo alhnevrr:prbJecfs All-06rnrgerdat iegulce nenEfi m'usttli eticor»pila[i_bb rt <br /> SJGN'PERMIT Attadhf(2j,sets It'Ehgineerod <br /> `*"PROPERTY SURVEY regOIW-,'for•bll'NEW-drmsWctlon. <br /> 'Diredtions::_ � <br /> FIII�otifeppltcattoo completely.. <br /> _.. <br /> _. _ <br /> Owner&>Contrabtor-sign Iiadi of appiicattoir;notarized' <br /> If over S25tt0;aryWotice;af'Commencement is.requt�ed,::_(.N.C.:ifp9taldes,:oTeir i7500) i • <br /> Agent(for.the.contractor).or Power of Attorney"'(forthe owner)would be'someone with.notadzed ietter from owrier':auttiotiang:, me <br /> GVER•.THECOUNTERPERMI'ITING ,(copyofcotifracti( Irilfiaci� " •.: ,,::';s,�.,'' <br /> Reroofs'If ell ogles Sowers Service Upgrades A/C} Fences(Piot/Survey/Footage) <br /> Driveways-Not over.Counter if on-publlcsoadways.:needs ROW <br />