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8t3•780-0020 City of Zephyrhilfs Permit Application Fax•813•7$01Sp21 <br /> B�o�ng f�epartment <br /> �ate Recoivetl ��2G_�y I �'' � <br /> �—�- � PhoneContactforPennitting�I'''rl-T'1 � � G�.�I_ <br /> ..., �/ �"� I �' <br /> OwnefsNama {�W(\ I�w��s� LL� Y ` �ZG{, <br /> Owner Phorte Numb¢r <br /> qwners Address �e�,7 E,,,p/t¢ �p �"0. � � �"�'"'�--� <br /> wn rPhoneNumbar � <br /> �•d�ia� <br /> Fee Simpts Titlehalder Neme <br /> Owner Rhon4 Number <br /> �ee Simgle TitlehotderAddress � <br /> JOBROORES3 rai�ol 1 . � rl'li{ � ,3�jt1�t+ <br /> � LOT# � <br /> SUtl�iVISIOM � PARCEL 16#f S c47 �a����L�y�"� Q(�}"(� D <br /> � �OBTAIN�DFROM PROFERTY TAX 07071GEJ <br /> WORK PROFOS@CT NEW CON57R 8 gp()/�,f S�CsN <br /> INSTALL � C� QEMOLtSH <br /> PROPpSE�USE Q SfR � COM � OTHER <br /> TYPE OF CONSTRUCTION Q BiOC 7� FF2AME � STEEL Q —� <br /> DESCRIPTION OF WqRK 1 p�/(/ � �Qw <br /> • a = ' a ' n /Ll�mps�l <br /> gUILflING ZE SQ FOOTAGE �0 f n e)oS uf Q <br /> NElGHT <br /> BU�LOING <br /> S <br /> / b�.Q� VALUATiON OF`TOTAL CONSTRUCTION <br /> [�JE TRiCAt� S �y,� AMP SFRyCE [�] PRQGttESS ENERGY <br /> a VO-�A Q W R.E.G. <br /> PLUMBINQ S <br /> 00•oD <br /> �������� ; VAE UAT{ON OF MECFtAPitCAL IMSTALiATiON <br /> ��S [� RppFING Q SPECIALTY <br /> Q QTkER <br /> FINISHED FLOOR EIEVRT S —� FLOOD ZONE AREA �YES NO <br /> 8����R I COMPANY l �_ ` <br /> SIGNATURE I < <�1�C 1�� V�q� � <br /> �J R[GISTERED Y/N Feeauwten Y/N <br /> Addroas � •� j��M3� / License R �C �S� j'� � <br /> � " . <br /> ��D EIECTRtCiQN ��— <br /> SIGNATURE � GQMPANY <br /> FEGISiERED Y 1 N fC#CURREN �Y/N <br /> Addrexs ^—� <br /> LiFense� �� � <br /> �1��/ P���R � COMPANY � <br /> SIGNATURE ftE01STCREO Y f N FEE CURREh Y/N <br /> Address Licenae N�_va—�_---_—� <br /> MECHANICpL � CQINpANY � <br /> SIGNATURE � ^ � <br /> RBGI9TEAE0 Y l N FEE CIiRREk Y/N <br /> Atitl�B88 ���_� �'�'�] <br /> „�,��, License p � I <br /> ��E� � COMPANY <br /> SIGNATURE REGlSTERE+J Y I N fEE CURREh Y 1 I� <br /> ACdress Licnnse# � �� <br /> 1111117tIt1ilt11t11111 / flllllli / / t111111111I1111lI1111111111111111t <br /> RESiDENTWL Rttach(2�Plol PJana;(2)sels of Building ptans;(i)set of Enerqy Forms;R-O-W Parmit tw new canstruct�on, <br /> MinFmum len(1Qywprich�g dayt aRer submittai tle1e. Requ'aed onsle,Construqian ptarrs,Stormwater Plans w/Siit Fence instaNad, <br /> COktMEi2ClAL AttaeEi 3)compie(g yets o 6 dGing Plan p us a L far5afa�Pa es�tr seto{��S <br /> Mirtimum ten(t0}worWng dayg aryqr submittat daie. ftequ cd onslte?Constnact on plans,SS onrn�raier P ns w/Si]kFer�;e nstailed, <br /> Saaftery FacikOes S 1 dumpster.Site Work Permii iw aN new projeus All commercial requirements musl meeE campliance <br /> 51GN PERMiS A[terJf(2)sqls ot Engineered piana, <br /> ""PROPERTY SURVEY required for aA NE W construclion. <br /> DIlBCtipDt: <br /> Flii out applicat;on comp�atcry, <br /> Oumer d Cantracta sign baGc M applicqtioh,notarized <br /> Itovar 57660,a Notita ot Commencemant ts requEred. (AJC upgrades aver 57500) <br /> " Agent(far tha canlractor)or Power ot Attomey{for Itce m+mer)wpNd be someene wilh notarized(olter irom rnmer a�iho�iz�rrg same <br /> OVER THE COUNTER pERM�TTiNG {Fronl W qpp&oation Only) <br /> Raroots it sh[ngl�a Sewers Servica Upprades AIC Fencea{A[oVSurroylFaotage) <br /> DAveways-Not nver Countar if on public roatlways..needs ROW <br />