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8i3-780-OQ20 City of Zephyrhiils Permit Application Fax-893-780-0021 <br /> �� -- Buildinq Department <br /> Date Received Phone Contact for Permitting � �� �r ^� <br /> ��i-i—t <br /> Owner's Name 1P1� Owner Phone Number �" Z � <br /> Owner's Address S,��er Phone Number �� � <br /> Fee Simple 7itleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOS ADDRESS L� C� .S� LOT# ��� <br /> sust�ivis�oH '� � { FaRe�,��o� t���too�l �'6 � o <br /> ' (OBTAINED FRpM PROPERTY TAX NOTICE) <br /> WORK PROP4SED � NEW CONSTR� ADDlA�T �� SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CO{VIfUI �� OTHEi2 <br /> TYPE OF CONSTRUGTION BLOCK Q FRAME � STEEL Q <br /> DESCR(PTION OF WORK �VQI..L..� n �� o <br /> BUILDiNG StZE � � SC!FOOTAGE HEIGHT ��� <br /> ���l�'���� ��,��'C�, � � VALUATION OF TOTAL CONSTRUGTiON <br /> �J �� <br /> �Ei.ECTi21CA� {� � AMP SEf2VECE Q Pf2flGftESS ElVEi2GY Q W f2.E.0 <br /> �. <br /> QPLUMB[IVG � �� <br /> QMECFfAN}CAL � � VALUA310N OF MECHANICAL tNSTALLATION <br /> �GAS � F2QOFiNG Q SPECIA�TY �� OTHER <br /> FINISHED FLQOR ELEVATI�NS ���---� FLOOD ZONE AF2EA QYEa NO <br /> �� ■ ■ ■ ■ • • ■ • ■ �—�_�._..���__.■..__e_e ■_ ■ • • � • • ■ • • . .■ ■ . ■ • • <br /> Bui��E� � CQtUIPANY � ,� ` 8 .� L �.( <br /> SIGNATURE 4 REGIS7ERED Y N FEE CURRE� Y/N <br /> Address License# ���.-1�jca�s�'�� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# �^ —� <br /> FLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �` u� <br /> NIECNANtCAl. COMPAiVY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTHE12 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> i � � � ii � � i � � � � � i � � � i � � ii � � � � � i � ieii � iii � � � � � � � � � � � � � � iiii � ii � � � ir � � r <br /> RESIDENTIA� Attach{2}P{ot Plans;{2}sets of Building PEans;{3}set af Energy Forsns;R-O-W Permi#for new construction, <br /> Minimum ten(10)working days after submittal date. Required ansite,Canstruc#ion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster,Site Work Permit for subdivisionstiarge prajects <br /> COMMERClAL Attach{2}eomplete sets of Building Plans plus a[.ife Safety Page;(1}set of Energy Forms.R-4-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili#ies&1 dumpster.Site Work Permit for a!1 new projects.R!1 corr�mercial requiremen#s musf ineet campliance <br /> StGN PERMiT At#aeh{2)sets o#Engineered Pians. <br /> **'*PROPERTY SURVEY required for all NEW construckion. <br /> • � ■ ■ � � � t • �_.._l�t..l._1� .1......■__1 ■.....■ ■ ■ .■ ■ ■ � l � � ■ � � � ! 1 � } f • Y Y � � l ! � 1 • � • Y � • R • a t ■ 1 � tl • � � [ ! <br /> Directions: <br /> Fill out application completely. <br /> Owner&Confractor sign back of applicatian,notarized <br /> If over$2500,a Notice af Commencement is required. (A!C upgrades over$7500) <br /> ** Agent(for ihe contractor)or Power af Atiorney{far the awner}would be someone with notarized!e#fer fram owner autttorizing same <br /> OVER THE CQUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingfes Sewers Servioe Upgrades A/C Fenoes(Plot/�urvey/�votage) <br /> Driveways-Noi over Counter if on public roedwaya..neede ROW <br /> � <br />