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2- <br /> City of Zephyrhtlls Permit Application Fttx•8taatii3-0021 <br /> " CtLR2Tg t�yartmant <br /> Date Rdt:e(wd phone ccmm#for PermiffimC,Q <br /> Owner's Name 't1� Oxmer Phone Numtau <br /> Ownees Addrass ow"r Phono Nam I r <br /> Fee 81"le Titleholder Name Oury,ishont Kam:ar <br /> i <br /> Fee Simple TitishotdeiAddreso <br /> ,1013 ADDREB,! < L LOTS <br /> SUBDIVISION rni pA?aClL <br /> ^ (WAIHW FROM/A TY TAX NOTINt <br /> SED WORK PROPO (.--� NEW CONM Q ADOlALT © SIGN Q DEMOLISH <br /> 11N6TALL REPAIR <br /> PROPOSED USE [3 SFR Q IvWk1 f D f .: <br /> TYPEOFCONSTRUCTION Q 13LOCK Q FRAmF Q STEEL Q <br /> OEBcRiPT10N OF WORK <br /> t3U1LOlNO bliti ee FoOTAOC l t0 <br /> ®BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> Q�ecsaiar l; 5 AMP GERYCE PROGWO ENERGY Q W.RE C. <br /> LUMBING <br /> •CAD <br /> ®MECHANICAL $ VALUATION OF MECHANICALiNSTALLAT10N <br /> =GAS Q ROOFING p SPMAI:v = oTI,.R <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES ND <br /> R COMPANY <br /> I3UILOE �FEE CURREN .. <br /> SIGNATURE RlGISTEREo <br /> Address <br /> License K <br /> ELECTRICIAN COMPANY <br /> REW3TERED I YIN I FEEiURREN Y! <br /> Address <br /> Lim.so <br /> 8113NATUAi±1 '- t ciseiriw4 rd..,G ,.�• a t C <br /> R Ntt€StEgED � � Rcas�aI--.1�T7— <br /> Address ` �M <br /> LtC21Ne#I <br /> INIICHMitCAL COMPANY <br /> SIGNATURE RE2f6MED I Yt FeeClFattEN 1N <br /> Address y <br /> Ltceneaf! <br /> OTHER COMPANY <br /> SIGNATURE ��� RE348rERECI YINFEE C IRREN Y <br /> Address <br /> a` License# --� <br /> ° °° °+ ° + + + + + �'+ + + + + ++ + +Y11tit + lf/ /Itllltltiflllttllfltltlt11111111111 <br /> RE0108NTlAL Attach,(+)Mot Mans,(e)sots or tluumng plan;it 1 set at tneW trorms;itt!-W Nemut tor new construchett, <br /> Mnlmum ten(101 wonting days after submittal date. Rewired onsde,Cansttuction plans,8m water piers vd SiRFence installed <br /> to <br /> COMMERCIAL Attach`,V)Comp11#e cats Sanitai'y Facilities at Buuiildi g Planolus a We als:y a0r>,(1)ge l cl a ne <br /> MRIlroOm ten(10)Mrieeg days after submittal data Req�Wd ansfre,Construct o Plana Seort�t W PlaIIIs w Forms-R-O-W Pomil for/8 FenceN nlfalied, <br /> BgnRsiy Facilities✓L 1 dumpdt & Work per for all now projects.All comm9rclai requilemente must moat compliance <br /> 8i0NPERMiT Attech�(?)sets of Engineered Planns.Pl <br /> ""PROPERTY SURVEY raqulmdforatl ARSW consuuCbon. <br /> Olncttoes: <br /> Owner b 00111MCIDF back 018 <br /> 11 w Ar;2811tt,a Ns9¢Of ComnuN1ie*11300t Is�npen <br /> raqulred. (A1C upgrades over SYE081 <br /> ggonc(tor the eontmoI *Qr Patap Of Atiomey 60f Me oN91erAl tuld be someone with Modred lotterfrem owner outhollzing Came <br /> OVER THE COUNTER PHitMITTINO (copy of corinat requirod) <br /> Ramafa it ahinglos eatwm 80naoo Upamdeu A/C Fences(PlodBurveylPootege) <br /> DrivaWay wot over Counter d on public roadMya..neeas ROW <br />