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1 <br /> d <br /> ! e13-7W-=0 City of Zephyfiills Permit Application Fax813780-Ml <br /> . I, BttiSctg Depertrnent <br /> Data Rsaatved Phone Contact for Permlitln 7a7 av _ c <br /> Ownses Name •I n , Qwnsr Phon.Nwnber �( f <br /> t✓ <br /> Ownse,Address Ylo•) �.ff <br /> Fee Simple Titleholderf Name vtC r D ..1 IJ rf�srw�hone-Pfterrnber <br /> i J <br /> Fee Slmpls ThithoiderAddms A>v <br /> r <br /> JOB ADDRESS r`^Ll c� ! {� e5 a C kr —L 3 . ` LOT 8 <br /> SUBDIVISION PARCEL la <! —a�',-1 —D o 1 D — 37 do— p/S O <br /> IOaTMM FROM PROP& Y TAX WMIC P <br /> WORK PROPOSED N1W COtiSTR ADWALT SIGN = = DEMOLISH <br /> B INSTALL e REPAIR // <br /> I PROPOSED USE = SFR 0 COMM Q. OTHER <br /> TYPE OF CONSTRUCTION = BLOCK `FRAME QI STEEL = <br /> DESCRIPTION OF WORK e.�1 r v�4: r.^L(p( ' t�� i^ C o c•w vrr? <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> 44411 <br /> EZBUILDING $ <br /> a, a• �7 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 0 AMP SERVICE D-A O = PROGRESS/ENERGY Q WJLE.C. <br /> �QPLUMBING g <br /> �MECHANICJAI $ 4�.6VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER a 2 T <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES x Z a h 7 J <br /> BUILDER COMPANY /^�lD <br /> SIGNATURE `�'W REtasivrfn Y/N FEE CURPM YIN <br /> } <br /> j Address I qJ� ra,2�i�i�J G/27117/�1 �� License fi C/3 c a l 6.9 <br /> ELECTRICIAN C051PANY /�n �l„ v_C,+ <br /> ' SIGNATURI= PLIGOTMED YIN FEE CURRF). Y I N <br /> jAddress License At �� 3e d ' <br /> pp r� <br /> PLUMBER COMPANY !8J T,f t.t P/u LLc .� <br /> SIGNATURE MOSTERM I Y! RE CIIRRFA /N J <br /> Address 9V s tATrQ faLdel ' <br /> Licenses Fq re-) ya <br /> 1 MECHAIQCAL COMPANY '5l"C+,4 <br /> ! SIGNATURE F REGISTER I Y I N I FEE OJWZS� YIN Q <br /> I Address License Y <br /> I <br /> F OTHER COMPANY <br /> SIGNATURE nEGUTs:ED I YIN FEE CURRO- YIN <br /> i <br /> ! Add,. Uoanse 3 <br /> REStDENT1AL (2)Zi <br /> Plans:(2)sets of Buidfnp Plans (1)sat of Erwryy Fours;R O W Pamit for rww oorx4txYon, <br /> LInknum tan(10)tvoAdng days altar eubmIW dats. Required mat*Construciat Plana,Strnmalar Pis wf Sit Ferns instwted. <br /> Sardlary Facilities a 1 dumpster Sits Wait Pamnli for p,*cb <br /> COMMERCIAL Attadr(2)complete mate of Buldft Isms pka■Ufa Sally Paper(1)all of En&W Forms.R.O-W Permit for near emshtdon. <br /> f MtNmtxn ton(10)aqr"drys elar&"ilitel date. Ragnired onsils.Conshmoon Plan.SUrnwshr Plans vd Sit Faroe k[steted. <br /> Sanitary Fadika&'1 dumpster.Site Wat Permit for al new proJec2s-Ali commercial reguiremerds muss meat compliance <br /> SIGN PERMIT Atiarh(2)eW of Engtnaaed NAM <br /> PROPERTY SURVEY requked for all NEW oanssudion. <br /> Dksett W <br /> FO out appica$vn compirlety. <br /> Owner 6 ConUscaor dgsnbeck of appiration.notartrad <br /> H over$25M.a Holice of Comrnaneserad is requksd. (AL"C upWadsa over$7500) <br /> I Agent(ior the co nkerior)or-Power of Abomey(for Yee owner)would be somsone w+0n notarized War from owner au9xwW%same <br /> OVER THE COUNTER PUWITTTNG (copy of conbW rez*,ad) <br /> Reroofs If shingles Sawats Service Upgrades AfC -Ferree(PkWSwnyfFoot W) <br /> Drtvewsys4lot over Counter If an ptbk roadways-needs ROW <br /> r <br /> ) <br />