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<br /> <br />f\/ <br />~\ 8!3-~ <br /> <br />City of Zephyrhllls Permit Application <br />Building ~ <br /> <br />Fax-813-780-0021 <br /> <br />f <br />~L\O <br />SilveraOO <br /> <br />~ <br />Owner.pho~ Number <br /> <br />", Ownor...... H........I <br />. 33634 I <br />Owner Phone Number . <br /> <br />· i <br />I <br />I <br />~ <br /> <br />5439 ~ Q1t:r <br />tder Mane r <br /> <br /> <br />Plot ....,..; (2) Ieta of Building Pllma: (1) Ht of Inettw Potm. <br />..... (10) WOI'Idng dtye IIflw aubmlttIIl ct.te. "equlred onll., Conattuotfon Pit,.., s.n,tary "tollltl.. & 1 dumpster <br />( .... of 8uIIcIInci ~1Ii"'1 (1) Nt Of .nergy fIofm.. <br />~ tin (10) wartdno dllYlllflw eubmlttal d... "equlred on., Oonstructlon I'1.ne, &.nltary ,..0I11tI.. & 1 dumpster <br />I NqUlrem.... muet meet oom,,"tnlle. <br />(2 .... of EI'lGInM'ed Plena. <br />8U1ItVaV required for .n NIW oonatruollon. <br /> <br />Fee Simple <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOS <br /> <br />PROPOSED USE <br />TYPE OF CONS <br /> <br />DESCRIPTION OF <br /> <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDIN <br /> <br />ELECTRI~AL <br /> <br />o <br />o <br />o <br />D <br /> <br />PLUMBIN~ <br /> <br />ME+ <br /> <br />GAS <br /> <br />BUILDER C <br />SIGNATURE <br /> <br />Addre.. <br /> <br />ELECTRICIAN <br />SIGNA TURI! . <br /> <br />Addr... <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Add..... <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Add..... <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />RESIDENTIAL <br />COMMERCIAL. <br /> <br />SIGN PERMIT <br /> <br />Adchee <br /> <br />I <br /> <br />$-~ ~ ~. . PAt.rn"rsJoJ> LOT' [ \\ <br /> <br />I PARCELIDI\I[ 4-26-24- OOfoO -fYE'Oo-O (\ 0 <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />o SIGN D MOVE D <br /> <br />o OTHER I <br />o STEEL 0 OTHER I <br /> <br />~ <br />~ <br />l ~ Single Famil~ Residence <br />(cf)y..1o I SQFOOTAGEI -~ I <br />r (pre 700 <br />rs 59 ~~ <br />[$ {Po ~g <br />,* 6/10 <br />o <br />~nONS I \ Of; . J-e} <br /> <br />NEW CONSTR <br />INSTALL <br />sm <br />BLOCK <br /> <br />B <br />o <br />~ <br /> <br />AODIAJ.. T <br />REPAIR <br />COMM <br />FRAMe <br /> <br />DEMOLISH <br /> <br />HEIGHT r <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />VAJ..UAnON OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROORESSENERGY <br /> <br />D <br /> <br />WR.EC. <br /> <br />VALUAnON OF MECHANICAL INSTALLAnON <br /> <br />rJDG -- <br />~cu:> _ ~~ . <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />'~O <br /> <br />3634 <br /> <br />COMPANY <br />~ <br /> <br /> Uoense' - --.J <br />COMPANY I <br />AHIITIMO VI N FEE CU"N!NT Y/N <br /> Ueense' I <br /> <br />of~, notarized <br />Commencement I. NqUlred. (AIC....... over $8000) <br />PCI'MW of Attomey (for the owner) would be IOmeone wtth notarized letter from owner authorizing ..me <br />HO (Front of Application Only) <br />Sel'lllce UJ)OI'lIdes AlO Fenoes (PIot1SurveyIFootage) <br /> <br />Drivewaye-Not o~ eount." on public roadwaYS..needs ROW <br />