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¢18-780-0080 Gity of Zephyrh111s Permit Application Fex-813-780-0021 <br /> 9uNding DBpeiKmin! <br /> p�Receivod 7 ��� Phone Conyet ror Parmiltlnp �r� 6 3 -, � � . <br /> �•"1T1 rrYl' T77'r1 4 <br /> Ov+ne�s IVeme v /t Owner Phona Number ' / �� � <br /> Ormcra Addroas � � � rt�,r� //� Own4r P�me N�+�nber <br /> Fee�Stmple TitleFwWa�Nema Ownsr Pho�a Numba� <br /> Fea Slmpk Tiltaholdar Adtlrasa <br /> .ioenoor�ss ��7 ,�� ''L>/'�S't l��ile �oT* � <br /> su��s�oN c��P S� G✓r",!as Pa��t�u� I a-aG-�/•4�/v-dtwW•D�.�o <br /> (OBTAINEO FROM PpOPERTY TA7I Np7fOfi) <br /> WORKPRpPOBEb NEwCONSTH ADDlALT � $IGN Q � DEMOLISFI <br /> INSTa�� B REP/711R <br /> PitOPOS�D USE Q SFR � �AMI�A � OTHER <br /> rraE OF cqNSTRUcnor� [✓�' g�ocK [] FRnME (� srEEl. [] <br /> oescaiPnauoFwowc �' ��IIG��n �+ur e7.5 � s ,r�k.� <br /> BUILOING SIZE 6Q F007AGE�� HEIGMT � <br /> [�BUtLD�NG S VALUATIont OF TpTAL CONSTRUCTION <br /> QELECTRICA4 S AMP SERVICE C] PRo0RES5 ENHRGY [� W.R.E.C. <br /> �PIUMeING i �\� <br /> [7�MECMANIC�L $ % � VALLATION QF MECHAMCAL INSTALLATfON � \� <br /> QGA9 O ROOFING a SPECIALTY � OTHER <br /> FINISHEO FLOOR ELEVATION3 FLOOD ZONE qREA �YES NO <br /> Bui�DER � COMPANv <br /> SIGNATURE .REOieTERpA Y!N rECCURRB, Y/N <br /> Add�aa� L'�cense N 1 <br /> E��� COMPANY � <br /> $IGNATURF. fiEGISTERED Y/N FEE Cx/RRE� Y/N <br /> , AOdfl85 �iCE11BB� <br /> 8 G TUitE �� �� q o�srpR 0� Y/N GEE GURRFI� Y/N � <br /> Addrces L'�SB� � <br /> MECMANICAL COMPANY �/4,r�jr I�C <br /> 91GNATURE aecierEaeo Y!N F�currn¢� Y I N <br /> �d,�9 � d a f-�,�► �r� �✓��� �����.(�c,� o s7r�7 y <br /> OTMER � COMPANY <br /> S��►T�� 1�a�er�o V/N �e cuaRBn Y 1 N <br /> AUtlress ���ya g <br /> IIll.lt1111111111111111111111111111tllllllllll � llllllllllllll � llllll <br /> R�81DEN11ql qqech(2)Plot plans:(2)ee�s of 9utltllnp Plsne:(11 set a Eneryy Forms;R-O-W Pertnit Tor new consE�tidlon, <br /> MM�mum ten(1Dj worlcinp 0sye aftsrs�bmittel aate. Req�iretl onsite,Consuu�tion Plens,Stormv,relsr Ptene wV S�N Fance installed, <br /> Sanilary FecNilies 9 1 dumpsler;9Me Wak Permi�tor eubdivieioaellerye projects <br /> �OMMERCIAI Attech(s)complae sets of Bui�anp Plans pwa a Lrfe satety Pape;�+)�ei a E��yv Fo�..R-aw v.m,n ro�new oo�o,aw�, <br /> MInMx�m krt{70J wo�k'v�p daYa sRer submiltal tlata. Requlred pnsik.Conslrutlion Plans.Stortnwater Pleru w/gill psnce inafeped. <br /> sanNery f�ci1'Aiea�1 dumpater,S'Ae Wo�k Permn for all new orpjeCls.Iyl cqm�nercte)repukements mutt mest eorrqltance <br /> SIGN PERMIT Attach(2)aeW o(Enpineercd Plene. <br /> "^'"PROPER7Y SURVEY rsqu'vetl tor a0 NEW conslnrcllon, <br /> 1 f 1�� 1 1 1 • ' 1�:1-1 1��-1 1 • ' 1 ' 1 1�a.1 1 1 i.a i 1 a <br /> dro�uone: <br /> Fip oul applkaGon completey, <br /> OWncr&Cq11f8Kyor sign b3Ck of BppliWliorl.rptgliZcd <br /> 4f ovcr f250D,a Nouee of Cwnmancamant Ie requiretl. (q!C uppradas ovar 51000) <br /> " PgeM(for Ine coMradory or Power of Altomey(for the owner)woula be someone w„h noterizcd IetEer hom owner au�honbnp sarne <br /> OVER 7H�COUN'fFR PERMI'I'TING (Frollt d P,ypliCeUOf�pnly) <br /> Reroefs It ehinglea Sewon Serrice Upgradea A!C Fences(PIoVSuryey/Footage) <br /> Drivewaye-Not over Counter if on puWiC ioadways,.needs ROW <br />