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■ ■ I� <br /> �� From: . ', � 09/22/2011 09:10 #520 P.001l002 <br /> �� <br /> � � a�aaaaoozo• � Clty oi Zephyrhilis Permit Application• Fax-s�3aeo-oozi <br />� :■ , Building Depa.rbnent <br /> ■ . <br /> Dale Recelved a � <br />�I Phone Contact%or PertnlHing �� � � = � <br />� Owner's Name ��L� �E O�C� �E. ' Owner Phone Num6er �� � ( � <br /> Owner'sAddress � 30 � �JT�o OwnerPhonaNumber� '� , <br /> Fee Slmple Tllleholder Name Owner Phone Number <br /> Fea 3lmple Tl(leholder Addrese <br /> JOBA�DRESS ���0 �'' LOTl{ �� <br /> SUBDIVISION PARCEL IQq ,I�d��"� �OO(O."d� O O^'O I�O <br /> � (OBtA1HE0 FROM PROPERTY 7AJ(No71Ct� <br /> WORK PROP09Eo B NeW CONsfR e ADD/ALT Q SI(3N �] [� DEMOLISH <br /> INSTALL REPAIR' • <br /> PROPOSEO U9E Q SFR Q COMM 0' 'OTHER ' ' <br /> TYPE OF CONSTRUCTION � Q BLOCK Q FRAME � 9'fEEL '� � <br /> UE9CRIPTIONOFWORK �� ��'eM��QN —I GOG pjT �1Ji � i'�' <br /> BUILOIN(i SfZE 3q FOOTAOE HEIOFff �� <br /> QBUILDINO $ VALUATIONOFTOTALCONSTRUCTION � <br /> QELECTRICAL $ AMP SERVICE , Q PROGRESS ENEFtOY Q W.R.E.C. <br /> C]PLUMBING $ '��O� <br /> �CHANICAL $ 1-�^��c.('j VALUATION OF MECHANICAL`INS7ALLATION� � 't� <br /> el�lJ � <br /> �cns Q ROOFINO �]� SPECIAL7Y,0. OTHER . - -� <br /> FlNISHED FLOOR ELEVATIONS FLOOD ZONE AREq QYES NO <br />�� , , <br />� <br /> BUILDER - COMPANY <br /> SIGNATURE ' aeclstst�b, Y/ N. PEe CUrtRer, Y/N <br /> Addreas � Llcense# • <br /> i ' ,..�� .� , ,. <br /> ELECTRICIAN •COMPANY ' ' ' <br />, SI�NA7URE � � r�oisteaen ' �Y l N Fee ctmr�n' Y N <br /> Addresa License f�. <br /> PLUMBBR COMPANY —� <br /> SIGNATURE rtEc�srerteo "Y/ N FEE CURqE� Y'/N <br /> . - r...p.. � �-� - - <br /> Address ,, Llcensa i! <br />� M6CHANICAL „,.:,COMpANY,. �'� i� S 1`r.V.`G�S'O O <br /> 81ONATURE �cis�neo YY N.. ��E.cUpaer.,. .Y/,N. <br /> Address Ll6ense N C,� S � <br /> �TH6R GOMPANY � <br /> SIONATURE ' r�cisrEaeO � Y/ N FeECUriaen Y!N <br />� Address �_ ' Ucense tf <br /> RESIpENT1AL Altech(2)Plof Plans;(2)sels of BuIlding Plans;(1)set of Energy Forms;R-O-W Rermit for new wnstrudlon, , <br /> Mlnhnuln ten(70)workirg days aker s�mlttal dale. Requlred onslle;Construclio�:Plari�,Stortrnre[er Plens w/Sill Fance Installed, <br /> Sanitary Fadl�lles 8'1 dumpsler,.Sile Work Pertnit lor subdlv]slonsAetge proJects. � <br /> COMMERCIAL Altach(3)wmplele sets o(Building Plene plus a Llfe Sefely Page;(1)sel,ot Energy Fortns.R-0-W Pertnll.far new construction. <br /> Mlnlmum len(10)xrorking days afler submiltal date. Requlfed onslle,Conshvc0on Plans,.Stormvuater Plans w/Sllt Fence fnstallad, <br /> Sanitary Fedlllles 8 7 dumpster.Sile Work Pertnl(lor al(new pro�ects.All commetclal requlremenls musl meel compllance <br /> SIGN PERMIT AHach(2)sets af Englneered Pisns. ' <br /> ""PROPERIY SURVEY requlred for e11 NEW consWcllnn. • <br /> �Dlrectlons: <br /> Fill ouL appllcallon completely. , ; <br /> Ovmer 8 Conlrector elpn back of epplicatlon,rrotarizad � ' �� � � <br /> If over 52500,a Natice oi Commencement Is requlred. (A!C upgrades over E7500) . '� <br /> " Apent(for the co�tractar)or Power of Attomay(!or ihe owner)Would be someona with nolatlzed lalter ham owner euthorizing same <br /> ' OYERTHECOUNTERPERMIT"fING (FrontafAppllcaUonOnly) .; . <br /> Rerools If shingles Sewers Servlce UpH�des A/C Fences(PIoUSurvey/Foofage) . . <br /> Driveways-Nol over Countar if on publlo roadweys.,needs ROW <br /> e <br />