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eas.�eaoozo CityoiZephyrh111sPef itAppllcat#an fax•e�s�7aoAOZ� <br /> BaAsi�np Depaq �nt <br /> � � �.�^ <br /> Patt Ratfvtd � ,,j f f� Ph�n:Conract for P.ermi n ��t T'1't'1'T �^�,�i� <br /> T T—�T�" - j <br /> Ownola Nomo �M Servicea,LLC pwner Phane Numbef •B�d87 ���� <br /> Own�rs Add�eec 7870 Osli BMd„#405;ZoDhyrhOis,FL 33591 Ownar Phone Numdar Q7':�`�'�' ��!G`�� J y�y'"/' <br /> � �7�� <br /> fCe 8tmple Titlohalde�Nama �� Ownar Phona Numbut <br /> F�t Blmpl�Tltloholdur Adtlnse <br /> J06 ADDR29S 7$�Gtifl Bivd.;Znphyrhls�e,FL 33iri t �pT p � <br /> SUBOlVlSI4N ZeD�n Cammoas � PARGEI iDN 3g-2�•21-D130-0D4D4•0030 ��� <br /> � tOBTAiNM:D FROM DR4tERTT TAX NpAC�� <br /> WpRK PROpQSE� � N[W CoNSiR 8 AADIALT SIGN Q � qEMOL16H <br /> INS7r1tl REFAift <br /> PRQPOSEO USH Q SFR Q CpMAi OTHER <br /> TYPE OF COPIS7RUCTI4N � 6I.00K � FRAME STBEL [] �^�'"�� <br /> t DeSCRtPTiON OF WORK interior 8u�idwut far Jaracy hiika a Subs roelaura t <br /> BU7403NGStZE tz•� � $AF007AtiE �.� H£It3HT 16tery <br /> �BUILOlN4 S ��!� VALUATION Op 70T l,GONSTRUCTION <br /> X�ELECTRICAL (S� AMR SERVICE Q PROGRESS ENERGY Q W.fi,E.C. <br /> �.�._ <br /> _Xn__FLUtdBiNG ri� <br /> �M�CHANICAI. (S VALUATION Of ME kilJVICAI INSTALLATIOM ( f J �(f�l• _~� <br /> ��.,� `��� ' <br /> QGAS C] ROOFINO [] SPECIALTY OTHER �,J� Z^ ��� �^���'�, <br /> FIHISNED FL40R EtEVA710 FLOOD ZON� [A QYES NO ~�� � ^~ <br /> , <br /> � 5�c�s ,�: 155�0� <br /> 8UICOER COMPJWY Geneva Construction.[�a, � <br /> SIGNATURE' Ree�sYRneo Y 1 N FEE 9URREA Y! <br /> AdCrosc PO 8ox 2'i858•4Jisda.FL 327ft2 Uc�nsa e � CBCOASCf48 � �, 't � <br /> ELECTRICIAN COMPANY 5��� �� �'�(�y l�I U't,L P�' y '�I <br /> SIGNATURE � r+ecisreReo Y'/N Fee cuqAen V 1 � �,�JF N�3'�b° ` <br /> �AaTresa �12. Wt5 'SCt ' Q.r C ' 3�ts� }n� �- <br /> Licettaa M �. `�t��(� p �j <br /> �� {��l P�UMBER ,�� ,Jl jr rf_ C4MPANY <br /> y �� srGniaTUt�E 7� �Y.�-ir RECriSTERE Y/N oEH CU�RH� Y/ <br /> /��Q� Addr�a Liconao r ( � {� 2 ��ryt/m'r <br /> � � �CJ�`-r _4ti t <br /> MEGNANICAL �:�i �(�- COMPAN ��C <br /> SIC33NATURE RE�i1678RE Y! N POC CURREh Y/N ! ��,G�` <br /> � r'i l�tri S�tGG <br /> Addroae Llconsa# <br /> QTtiER GdMPAf1 <br /> SIGNATURE AEGiSTERE Y J N FEE WRRE7s Y I N <br /> Adoress Liconae M � � <br /> l21ilIIIIliIIIl1tIIII � ! l / tI � lIIt11IIliI1il! lII � tlF � tili`/ iltl � Itltl / <br /> RESIDENTIAL Attsch(2)Plol Plens;(2)sets of BuOdinp Pluns;(1)set of Ener Forms;R-4W PormN tpt new constn�etion," <br /> Mintmum Wn(1q)workirip days oRer submNlal d»Ce. Required ncite,Conatruclian Plens,$tortm�mter Plana w!Sllt Fmce(nslolled, <br /> 9anitary Fac8ltles 8 7 dumpsta;Site Wark Perrnit for aubtllvls!nsllarpe prajacic <br /> CONI�lERCIAt 1�ttactr{3)compiete sets ct 6uiiGinp Pibns plua a GiFe Saiaty t' ge,i1y aet of Ene:gy Fonns.R-O-W�em3t tat nsw eontWetion. <br /> Minimum tan(10)working days efter aubmRtel Oate. Requlred nslto,ConsW ction Plena,Slormwaler Plaru w!SAt Pencs Installetl. <br /> Sanitery FacUflleB d 1 Cumpater Site Work Permit for o9 new oJocls,Au commerGOl mqulromants must meet campl�anca <br /> StGN PERMtS Atterh(2l��or Enpfneernd p�a�s. <br /> •^•,PROPERiIf SURVEY toquiced tot oit NE4Y consFruelion. ' � <br /> DfmcHont: <br /> FiN a�rt a�iication cotnpietofy. <br /> Owtte�&COntractnr stpn Gsdt tif appflcaiion,tmtarize2! <br /> If ovor i2BOa.�N011cb ol COITIrtIerlcoflte0t Is Iequlrod, (AIC upgradas o ar STS00) <br /> " A,�ent{!ot tho canlraao�or Pownr ot Ariomey(!w the owner}�wuld 6e so ne wilh naWriud Intter from awnw eulho�zing SOme <br /> OVER THE CDl1NTER PERM�TTiNf3 (Fraa�t ot Appiicatinn Onty} <br /> Remols H BNnptes Sewsrs Service Uppredes,A/C Fences(PIoUS rveylFon�nBe) <br /> Orlveways-Tvbt over Cannter if on public roadvrays..needs ROW <br />