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.� al3a8tusa2a City of Zephyfhtlts Permit AppttfdOn Fax�81&T64-04I! <br /> IIaucng Oapasftmmt - <br /> Date Received Phone Contstcttor Pe ml <br /> 'M <br /> Owner's Nome <br /> Owner <br /> Photo Number <br /> Owner s Qddraa OwaetPhano number <br /> Fee simple T[ttshatdOr Name <br /> ires Sbnpta TittaholderAddraaa r� <br /> S7! LOT* <br /> JOBA13DRUS t <br /> SUBDPJISION 1 s PARUI1Ds <br /> taeTAatea frla7A Rrr1o•iRTY TAX Ra7ree► <br /> WORK PROPOSM NEWCONSTR� AOD(ALT 61014 DEhlOUSH <br /> j INSTALL REPAIR <br /> PROPOSED USE [ SFR C'I r'nMnr Q rTt' y <br /> TYPE aP CONSMCTION Q BLOM Q FRAMS Q STEEL <br /> 0ftsOR1PTI0111 all WORK <br /> BUILMNO=11 F aq trooTAtlE "WONT <br /> tie' , ItvC? I VALUATION OF TOTAL OONSTRUCrION <br /> QEt ECTRiCrw AW 6fWCE PROWRESS ENERGY Q W.RE C. <br /> QMECHANtCAi 1$ VALUATION OF MECKMCAL iNSTALtAMON <br /> QOAS Q ROOFING Q spmAt Tv = OT}-R <br /> FIMSHEO FLOOR ELI i(ATIONS FLOOD ZONE AREA AYES NO <br /> BUILOBUILDER ( COMPANY <br /> TURE i 111 COMPER4Y FEtTCURREAI <br /> Address Ltcenseft r <br /> BLICTRICtAN COMPANY <br /> SIONATURE ...:ai�■.■�„�■�i■ir.w�■.. Rawss"RRE4 I <br /> YIN FEEC3RREN Ll 'i y i <br /> Address [ Lioense0 t.l <br /> PLUMBER idarivai "Z <br /> ERCHATUR5 i` .; "[ tit slENED t. I FEEtautnEDli II N�� <br /> Address License# '{1 ` 1 <br /> MICHANICAL COMPANY <br /> SIONATUR11 RErda Mim I YiNj FER WRItEtr I YIN <br /> Address LICeR6e#I ! <br /> OT14ER COMPANY <br /> SIGNATURE 1 —� REaMREO I yf-N FEE CURREN I YIN I <br /> Add., �; Licensed! t <br /> 11111l11414tttttllltlY / !ttllll ! ! 1 [[ ! !! [ t#1 [#i # t ## ### ff# #fiflttf ## ti <br /> KeS IORNTtAL ARaatf(4)wet t'lans,(6)sets at tsuadmg mem(t I set or t nergy"Ints;k-u-W t'0mnt tar nety Constnicooft, <br /> Minimum ten(tp)working days abreubmMal data. Required onsde,Cansm,atmn Plans,Storm fir Plans kW SIR Fence installed, <br /> BanRa�r Facilities 8 t dump5tar,$its Work Parmtdforsubdivtslon6ltat$a prajsatc <br /> COMMERCIAL Mach;(2)complete sets of Suildmg Plana plus a Lde Safety Paga;(1)het of Energy Forms-R-0-W Permit for new conetruation. <br /> Minimlim ten(10)hotting days abr submittal data. Required onafte,Conetruatan Ptana,Stamtwalar plans W Bill Fence imstaiied, <br /> sanftaty Facilities 81 dumjster.Site Work Permft for all now I rojeft All aommsrrAl Mquimments must most Compliance <br /> atGN PERMIT Atta&(2)yaw of EMMered Plans. <br /> ""PROPERTY SURVEY requkedfar all NEW construction. <br /> heENaMz <br /> "cws■ppt,aa[,oA a0ll�paetTSU. <br /> Owner 6 Cotntaa EIGn back of apptiaation.rctoWd <br /> tt aver S2stt4,tt tfatips o!Cammetroamertt is raRutred. (M upgrades aver$180a) <br /> " kgent{far Ina contmCtor)ai t'aYcer at Attam9y(taf�a al4'n9r}l,4uEd b@ somRona tyith netarizad iCttarfrom awmar outhonzmg same <br /> , <br /> OVER THE COUNTER PERMITTING (copy of contract mquirod) <br /> Romota if ottimokm S%Wfa Sowo Upgaadoo A/C Fenevs(PWaurveylFaatago) <br /> arluet aWma over Coumtor d an public madNays..needs ROW <br /> i� <br />