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s�sasa-ooza City af Zephyrfiills Permit Appiication FaX s�aasaoo2� <br /> . -' Bullding Department <br /> � i <br /> Date Recelved Phone Contact for Permitting <br /> Owner's Name / � G.�+'/(�G� Owner Phone Number <br /> Owner's Address � � U / �����-� Qwner Phone Number �� � <br /> Fee S(mpie Titlefioider Name �- � � t3wner Phone Number � � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS � �1�� ��I G,�i�`/�'.t,.,S� L.OT# C_______� <br /> sus��vis�ar� S'/Z-I/�lr.'_- �'11��,� � Pa�c�z�o� f�3 2.�~-�-/--�I�r —•Qlld D�_�'l� <br /> (087AINED FROM PRQPERTY TAX NO710E) <br /> WORK PROPQSED e NEW CONSTR 8 ADDlALT � S1G�! Q Q DEMQLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � UTHER <br /> TYPE OF CONSTRUC?10N Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1� �9•� "l� Lf1L�1� � U--J�i'" %i,����s� ..��lY�.�� <br /> BUILDING SIZE � � SQ FOOTAGE�� NEIGHT C�� <br /> OBUILQING � , .} 3�� VAI.UATION OF TOTAL C{�NSi'RUCTION <br /> f�, <br /> QELECTRiGAL $ AMP BERVICE � PRO�RESS ENERGY � W.R.E.C. <br /> QPLUMBlNG ($; � � � � <br /> � � <br /> QMECHANICAL $ VALUATION OF MEGHANICAL INSTALLATIQN ' <br /> OGAS � ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATiONS r�� FLOOD ZONE AREA CJYES NO <br /> L <br /> BUlLDEF2 COMPANY <br /> SIGNATURE _, REGISTERED Y/ N FEE CURREN Y/N <br /> Address I.icense# �� '� <br /> EI.ECTRfC1AH CQMPAI�IY <br /> SIGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N <br /> Address License# �� � - <br /> PI.UMBER ^� CQMPANY <br /> StGNATtIRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �^ � <br /> MECHANtGAL C01VlPANY <br /> SIGNATURE _ . REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �� � <br /> � <br /> 07HER �,,_� CQNIPANY ���6� �ll+��//�•'� <br /> SfGNATURE aECrsr�aEO Y! N FEE CURRE� Y/N <br /> Address P �i�'X l��,.� �icense# ��d z"�G��f � <br /> RESIDENTIAL Attaah(2j Plot Plans;(2�sets of Building Plans;{1)set of Eneegy Forms;R-O-W Permit for new construation, <br /> Minimum ten(10}working days after submiftat date. Required onsite,Construction Pians,Stormwater Pians w/Silt Fence instailed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit far subdivisionsflarge proJects <br /> COMMERGIAL Attach(3)comptete sefs of BufEding Plans pfus a Life&afety Page;{1)set of Energy Forms.R-O-W Perm9t for new constnaction. � <br /> Minimum ten(1d}wotking days'affer submittal dafe. Required onsite,Construction Pians,Stormwater Plans w/Siit Pence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work F'ermit for all new proJects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach{2}sets of Engineered Pians. <br /> '*"PROPERIY SURVEY required far ati NEW construction. <br /> Dtrecttons: <br /> Fiil out appticafion completety. <br /> Owner&Contractor sign back of applfcation,notarized <br /> if over�2504,a Notice of Cammencement ts required. {A!C upgrades over STSOQ) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTiNG {Front of Applicatian Only} <br /> Reroofs if shingles Sewers Service Upgrades-A7C' �� Fences(PIoUSurvey/Footage) <br /> Drivsways-Not aver Gounter if on publ(c roadways::'needs;ROVtit '_, <br />