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�aaso-oozo City of Zephyrhilis Permit Application r�x-n�°-,°�-���� <br /> Building Department � <br /> Date Received �� phane Contacf far Permitting <br /> Owner's Ftame �Ti1�Lr ���18�t�1� �i�' �-t?� �' Owner Phane Num6er ���` '"r b� ���'���� <br /> Owrter's Address• �j� h� ���, �� Owner Phone Num6er� � <br /> Fee Simple Titleholder Name Owner Phane Number� � <br /> Fee Simple Titleholder Address <br /> JOB A�DRESS .?��'�R ��, ���'��� LOT# f� <br /> SUBDIVISION �- � PARCEL ID# I t ' ��p���(,��4�'������ 4�����-�-� <br /> � (OBTAINED FROM PROPERTY TA}C NOTICE) <br /> ! WORK PROPOSED � NEW CONSTR � ADD/AI.T [,� SiGN [� MOVE [� DEMO�ISH <br /> � INSTALL REPAIR <br /> � PROPOSED 1.13E O SFR � COMNi � OT}iEFt <br /> � TYPE OF CdNSTRUCTION Q BLOCK ��] FRAME Q STEEL [� OTHEFt <br /> � —�\�ae.l� �nQ�,n,�� <br /> i DESGRIPTION OF WORK <br /> .. <br /> : <br /> � BUILDING 31ZE � y� SQ FOOTAGE C � HEIGHT C� <br /> i <br /> " Q BUt�D1NG ���l��r�� � VALUATION OF TOTAL CONSTRUCTION <br /> LZ�� <br /> � <br /> , � E�ECTF2ICAL �$ � AMP SERVtCE 0 PiZOGRESS ENERGY Q 1N.R.E.C, <br /> I � • <br /> ! � PC.UMBING f$ � 1� [ l ( `/ <br /> j � . <br /> i Q MECHANICA� �$ � VAE.UATEO�!OF MECHAiVtGA�Ii�tSTACLAfiEQN <br /> � <br /> ; Q GAS Q F200FI�IG � SPEGEAl.TY � OT1-(EF2 <br /> � FINISHED FLC70R ELEVATIONS FLOOD ZONE AREA QYES ONCI <br /> � SUILDER �(�� � COMPANY ���- C.������� M�c ' <br /> � SIGNATU � REC,ISTERECI Y N FEE CURRENT Y N <br /> � Address �j�� t3 �'J� h r'��11S �. �3�"Jt{� �icense# C✓vC`.. �,�l�(.'�"'�{� <br /> ; <br /> � ELECTRtCtAN CClMPANY <br /> ' SIGNATURE REGISTEREp Y I N FEE CUFiRENT Y I N <br /> I <br /> Address Lteense# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREp Y/ N FEE CURRENT Y/N <br /> i <br /> Address License# �� � <br /> MECI�iAN1GA� GOMPANY <br /> SIGIdATURE REGISTEREp Y I N FEE CURRENT Y/N <br /> Address License# � � <br /> 4THER GOMPANY <br /> SIGNA'�URE REGISTERED Y/ N FEE CURRENT Y I(V <br /> Address Llcense# �� � <br /> REStDENTiAL Attach{2}Plot S'fans;{2}se#s of 8u11ding Plans;{1)set af Energy Forms;R-O-W Permit for new construction, . <br /> Minimum ten(10)wo�ktng days after submtttal date. Required onsite,Constnict(on Pians,Stormwater Pians wl 51it Fenae insfaited, <br /> Sanitary Facfliti�s&1 dumpster,Site Work Permit for subdivlsionsllarge projects - <br /> COMMERCIAL Attach(3}sets of 8u3tding Plans;(1)se#of Energy Fatms.F2-O-1N Perm9t far new�construcflan. <br /> Minimum ten(10)working iiays after submittal date. Required onsife,Constructlon Plans,Stormwater Pians w/Sitt Fence insfalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new pro�ecls.All commerclal requlrements must meet campUance <br /> ' SIGN PERNi[T At#ach{2}sets of Engineered Plans. - <br /> i <br /> **"`PROPERT'Y SURVEY required for all NEW construction. <br /> I Dlrecttans: ' <br /> Ffll out application completely. <br /> , Owner&Contract6r sign back of application,notarized <br /> tf over$2�Q0,a'Notice of Commence.ment Is required. (AlC upgrades aver$5040} <br /> "" Agent(far the cantractor)o�Power of Attomey(for the owner)would be someone wilh notarizeii°letter�frbm awn�r authorlaing same <br /> 'OVER TFiE COUNTER PERM11TiNG -. .(Frant�of Appticatlari Ontyj , '_ . , <br /> I�eroofs 8ewers � 'Service Upgrades;�',_, ;A/G Fences(f'lot/Survey/Foatage)• : , <br /> �. .. , . . , . . , _ , , , , ', ', � ; ., -. <br /> Drlveweys-Not over Counter if on publlc roadways..needs ROW ' - � ..: ,. .„_ . . <br /> � <br />