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813-78ao020 City af Zephyrhilis Permit Application Fax$13-780-Op21 <br /> .. <br /> � Buftding Department <br /> pate Etacelved C�. �� ��� - ' �'�' � <br /> Phone-Contact forPermttting <br /> Owner's Name �� �� ��'�..�r Ownar Phone Numbar ���-' �-.�'4�Y� ^--�.>>� <br /> r' � .� <br /> Owner"s Address ��� J� � 1� ��.��.. Owner Phone Number <br /> Fee Slmple Tltleholder Name � � Owner Phone Number � � <br /> Fee Stmple Tltleholder Address <br /> JOB ADDRESS P�XJ 1 J� C.Q�n T'L�"� �2.P�� 1�I'l l��'S,�I_.. ��"���c�. LOT# �� <br /> susaivis�oN � � PARCEL ID# � �' �ll� �c�1 — C�p t� -- i�C.�-�O I c�C� <br /> `� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W4RK PROPOSED NEttu CONSTR AdD/ALfi � SIGN Q 0 DEMOLiSH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUGTION Q BLOCK " Q FRAME C] STEEL Q <br /> DESCRtPT{ON OF WORK t � ` � � S{.'.,.�,r \�'(�� <br /> BUIIDlNG SIZE �_.. � St�FOOTAGE C� HEIGHT [`� <br /> OBUIt,D1NG � � VALUAT(ON��O�TOTAL CON3TRUCTION <br /> C]E�ECTRICAl. $ AMP SERVICE Q PR4GRES5 ENEFiGY Q W.R.E.C. <br /> �. � <br /> Pl,UMBING $- <br /> l���.Oc.."`�. <br /> QMECHANtCAL �� VALUATIQN QF MEGHANICA[.INSTALIATlOt�t <br /> Q�� Q ROQFlNG � SPEC1Ai:'IY [� t1THER <br /> FINISHED FLOOR ELEVATIONS �� FI.00D ZONE AREA QYE$ NO <br /> Btltl.DER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURFtE� Y/N <br /> Address Cicense# r �� <br /> �LECi'RICIAHi COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURF2E� Y/N <br /> Address Ucense# �i � I <br /> , �...�� _ �— � <br /> PLUNIBER �1'l,'�.,�.�—�-�-s`-r-`�.' COMPANY �-��1`� lh�ll�lC�.`��ti 1►'1c_..- <br /> SIGNA7URE REGISTERED N FEE CURRE� Y N <br /> Addrass ���dV �� S'� �.'�1.tt�'S E�-- ��5�'{ License# r��-�-- ��C.�S tU�ot � i <br /> i <br /> MECHANICAC CQMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address License# �� � <br /> OTHER COMPANY <br /> SIGNA7URE REGIS7HRED Y/ N . FEE CURRE� Y/N <br /> Address License# �_ � <br /> RESlDENTIAL Attach{2j Plot Plans;{2}sets.af.BiiltilingPlans;{1)sefaf�nergy Forms;R-O-W Perinit far nevu constructton, <br /> . Mintmum�ten-(a.0).warking-days-after-submlttal-date:-Requlretl onalte,-Constructlan-Plans;StormwaterPlans w/•Bflt Fence-Installed,-----� <br /> Sanitary FacillUes&1.dumpste.r,Site Work•Pertnit far subdiVisionsAarge proJects <br /> COMMERC1Ai. Attach{3}aimplete sets of Suilding Plans plus a l.ife Safety Page;(1}se#of Enargyr Fartns.R-O-W Permit for new canstruc�tion. <br /> Minimum ten(10)waricing days after submiktal date. Required onsite,ConsUucdon Plans,Stormwater Plans w!Silt Fencer installed, <br /> Sanitary Facilt8es&1 dumpster.Site Work Permit far all new proJects.AU cammeraai requlrements must mest complfance <br /> SIGN PERMIT Attacti{2)sets of EngEneered Plans. � � <br /> "'"PROPER7'1'SUR1/EY required for all NEW constructlon. <br /> � Dlrectlotts: <br /> F(II out applicaUon completely. <br /> Owner&Contractor stgn back of applicatlnn,notatized <br /> tf ov�r 52500,a Natice of Comrnencement is required. {A/C upgrades over 37500) <br /> '" Agent(for the contractor)or Power of Attomey'(for,tFie'owner)�would be someone with notarized letter from owner authori2ing same <br /> t�VER 7HE COUNTER PERMITTiNG . (Frbnt of l4pplication,Oniy):� <br /> Reroofs(f shingles Sewers Service Upgrades.A/C Fences;(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on publio roadways:n�e2is ROW��_• =�. <br />