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<br />10/23/2007 10:23 3052969753 veDA KWHARB <br />or,'i'/23/2007/i'UE 10:25 AM ZEPRYRH1LLS BUIl.DlNG FAX No, 813-7BO.0021 <br />1l13.7H20 City ofZeph~iIIs P~rmifAppllca1lon <br />S..dlng oepar1llllllt , <br /> <br />PAGE 03/03 <br /> <br /> <br />DlIt~ R9ClllVI!d . <br /> <br />Owner's Name <br /> <br />Owner's AddreD <br /> <br />, JQ6 ADDRESS <br /> <br />I <br /> <br />PIMl.lm.....~I~,e"o;~A_ r s...-(' AJ ,,!.n"l'" ,.l'. <br />. L?iir~.~ 3 go, f33 . C~. 5'.9' c- . .~~.i~ '.l LOT.' J' . I <br />I. ' . , J P~'D'[ 5l.(-ti~ tJ, ~;,.;";J,,,t 9~ ,tfq",{/!. ~ LJ <br />'. ' " '(OIlTAIIIED ~M PROfEllTV TN( 110'1 '. . " ' <br />WOR,KPROPO.HD '8 NEWCONSTR', [!ZJ ,,,"DD/ALT:~ SIGN D'~oveD ,DEMOlisH"'" <br />IN:JTt-LL ',' []Sl. ~j;P^IR <br />I'ROPOSIro US; , " : D SFR ' " .' DcoMM " r <br />, TYPE OF CONS-mllC;TION D BLOc\( t:J 'l'RAM6 'D . <br /> <br />DESC1u""ION OPWORK(;:.. N!i--' Wrll " tJeo.J' ''''''~;.J . <br /> <br />BUI~~Glin f~IY 7~90) S~~~~!m..........," , <br /> <br />o BUILDING 'I$:S~~D. -:1'. ,VALU~TlONO~'rOT~~ONSTRui:m~N <br />--!~t!~.L ',. " " <br />D', eLii~TRlCAL IllS <r{), ,I 'NlreER\lI~, ,0,', ~"~"'F;l'lF.N~!l-QY ",D. w.~e.,c.: <br />, T'" , -~c.J....' , ' , <br />D. F'LUMSIN~ IS : ~.$ry,li~$Id.\'~;~~ ~, . <br /> <br />D NRCf:lANICAL 1$ d 5 rv.> ,I vALUATION OF MECHANlCALINSi'ALLAT,ION ' <br /> <br />c::i' A(10r;t1Jr,: "'0 SPECIALTY D OTHeR <br />f'LOOD ~OfolE AAJJ.A l:3~ DNO <br /> <br />SU80IVI&'ON <br /> <br /> <br />"lflllIl <br />" . <br />, <br /> <br />...... <br /> <br />D <br /> <br />CI\S> <br /> <br />llUllDER <br />SIGHATU~ <br /> <br /> <br />Addres; <br /> <br />UQIIQl~* ,...: . I <br /> <br />l'~~~~~s~'e~~~'~ '. <br /> <br />" ,;L1~II8lI#,'IEc..J300I(d,.s'H I <br /> <br />t?,. ~O"','I\NY LP,lo.v;Uu!; ~li '~~):"".~e..v\...' '/ <br />I ,~. L!.L.!tJ',F&E~. ~: <br /> <br />" ',' l)()"" :I' '.:iJcen&e# I " <br /> <br />~Sr':MP~I~~~~. ,L!!lU I <br /> <br />. J 'Lla_all I" I <br /> <br />']', COMPANY I ' , .', , I <br />_ MQISlEMll, ' , L'U.!:!-l :' ~ CUAII6NT' ,~, <br />A"~ r I . 'UcenslI# I' : I. <br />I J II J I III III 1/ 111III1 111'" 11111111111 J /11111111/ J 111111111,., Ill'" 11111111111' 11111111111" If/Ill' r, 1111"1111.; 1.1 1111" 1111... .111111111.1' '" <br />RE!lIDI!NTw... AlilIch(2)Ploip'lIIle:(2)....o'B~n!1Pia"":(i).elorEnergyF-.-R-o-WPlllmltrOrnoWlJlI!!ClnJcIIon:'.,.,.':., ' <br />,MInim,,,,, k:n (10) 1NOtklllg dll)lll 2It8r 8UIlINlIllI aate. ~~ 1I/1S118, CVrwllUcllarf ,.,...... 51,,! ",....,"'", '-Iane ...1 Clll r~MG In.talled;' , <br />511nttary FadlllllS & 1 dUlllD5let; 5ile Walk Perm/I far _dMelonallBrgo ptqoc~ '. . ,. , . , , . ' <br />COMIllIiRCIAL. Alt:,,:h(3)~Oll!lAldlngPllUl8:(1)I8lDfEntl'lWI'ClIIII&.R-O-W"ennltrar~conMJcllori..' , ' " ,- , <br />MinImum Ian (10) -,g lleY3 allllr .UIlmIlllll data, "RllQUIrlld onsl... COMIluetiM p'-. Ill........ter PIe'!.)Iff 3i11 Fcnca lnetelled. <br />. !3enIIOry r_.. $ 1 ~: Clio W~o4< I'_li,........~ n_.......,....... AU oomm_ .....____ mlMl meel compjl8nc:l> ' <br />A1Z:lell (2) sell of Engineered Plene. ' , " " , ' . ". ' ' . <br />, ....PROPam' SUAVEY requlred fvi" at! tiEW CClllIIlM:lIon, ., <br /> <br />Eu;cTlUC1AN <br />SIGNAT,URF.! ' , <br /> <br />AddnlsJi <br /> <br />"LUMII~ft ' <br />SIla~A TURE <br /> <br />--i. . <br />:~~~ Su- ~& <br />, ~ AlIiIroiIc I <br />=~'I" <br /> <br />'~ <br /> <br />'~ <br /> <br />81~ PSRMIT <br /> <br />\ <br /> <br />,.."......... ...1....... '..',. I ........... <br />p",ou~ ' ' <br />Fin DlIlllPPflcaUllIl C01lIpleti!ly. . <br />o.mer & Conlnlotor Sign /lack or 8PpllCIIlIon; IIlltaitmd . <br />If IIftr t2SOO. . NaUce,Of Camrnt_elll llr .....11I11. (AIC lIpII"'.... - $SDl101 ' <br />" )l~/f<ir1ll8........'"'alcrJ"orP~"'4~"Y(..;.I""_)WllllIdlluomeo"ewlthno~lol\I3ffroin IlWIICTB\I~~8em~' , <br />'OVERTN&C~UtmiRP~~ '~orAppftll81lan.QnIy).:". .-,: ,... ::; .,t.:,?.:..,._ <br />RIIflIllIll s_~, '.SeivleeQjlil!ulill ..',';,",~.",C.FeilCCl"'lotlSUMIY/FCOtage).....,',' ': '...:~.. ,},' '~';'.'.: <br />D~~_;~~~i~:~~,~:~.~.k;ow" . . " :t:;~:;.~:'~.:!.'.:.>;:;:':'~.:e~<:'~)y. <br /> <br />..... " ' <br /> <br />..... . .. ":. . I ~ .... <br /> <br />...... <br /> <br />", ............. <br /> <br />.... <br /> <br />.. <br /> <br />.,.... <br /> <br />. <br /><, <br /> <br />, , ' <br />~ -. .--------,------..-- <br /> <br />-_.._~ <br />