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��bi�a�-oozo City of Zephyrhilis Permit Application Fax-a�aaso-0021 <br /> a�,��afng�e�ara►,8nt . <br /> Date Recelved ' ph�one Contaat far PermltNn – - <br /> Owner'a Name Owner Phone Number <br /> Owner's Address • Owner Phone Number � ^�� <br /> Fee 5lmple 7ltleholder Name �4 � Owner Phone Number '� �� <br /> t . , <br /> Fee Simple Tltleholder Addresa <br /> JOB ADDRESS `� 3 3� � � . LOT# �� <br /> StlBDIViSlON �— � � PARCEL iD# � - <br /> (OBTAINED FROM.PROPERTXTAX NOTICE) <br /> WOltK PRQPOSED � NEw CONSTR ADDIALT �� StGN Q Q DEMQl.ISH <br /> e INSTALL 8� :REPAIR <br /> PROPOSEDjUSE Q SFR � CQMM � OTHEi2 <br /> TYPE OF CONSTRUCI'ION , Q BLOCK ' [;� FRAME � STEEL ��` � <br /> g . <br /> DfSCRIPTION OF WORK' t,} J� ✓ �,. Q� ` A Q� <br /> B!lll.DtPIG SIZE �� � ��SQ FOOi'AGE FtE1GHT���� <br /> I Q BUI�DING �� � VALUATION`"t?F TOl'AL CONSTRUCI'ION � <br /> iI QELECi'R1GAl. $ ' AMP SERVIC� PRO�RESS ENEFtGY <br /> , 5�0� r.�� � C�. W.R.E.C. <br />; �PLUMBiN6 �s � � <br /> [�MECNRNIGAL r$ VA�UATION OF�MECHANIGAI INSTALLATlt?N <br /> ,L` �`. <br /> C]GAS [� RQQFING .[� SPECtA�TY �,� t?THER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO i <br /> BEJIl.DER COMPANY . � ` <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s Cicense#`�� � <br /> E�ECTRiC1AN . . ��'`� ^iCOMPANY' 1 L2-�2ti-C-'. C,�f�t..�. .�,G� <br /> SIGNATURE �`� � � REGISTERED Y/ N FEE CURRE��f -'' /N <br /> Address v " _ �_ license#.�{�F3�7(3��' •� t <br /> PLUMBER ` ` � COMF�ANY . - 1 <br /> SIGNATURE` � ` _ REGISTERED Y./.-N ;FEE•CURRE� Y-/N. <br /> Addre�s � 3 license,# � , � <br /> MECFfANlGAI:�� . , . COMRANY. . , ` , <br /> SIGNATURE -' � k REGISTERED , _ Y./ N , ,Fee Cur�REn- Y/N <br /> ,, . . <br /> , • � - <br /> Address�'; ... � ' .' . . �= ' ' �`" ` Cicanse#�r� � <br /> . . . :,; , <br /> . - I <br /> ,, ,. , <br /> OTFfBR � ' ';COMPANY <br /> SiGNATURE:�=::� :` ''= ' � ° ' ' REGIS7ERED' Y/ N�.:. FEe CURFten Y/N <br /> Address r , w'�..- �° � � - ' ' L'icense# � � 1 <br /> -: ,.v._..�� . <br /> RESlDEN'ilAt:,� Attacii�{2)xPto.t Rlatis;::{2}'setsiofsBultd#ngi'Flaits,`(1}set af�.Energp�Farir�s;R=0`W`Petmlt tar new canstruattaa, � <br /> �.Minimum•.tenm(:1.0)working;d"ays afte_r,:submlttal�datie:Reguired onsite,�CioristiucHomPians;Stormwaterplans wJ SilYFence installed, <br /> ��"�`Sanfta'ry Facllltles,;&y1:;dumpster.Sita Work P:;ermit for sutidivisionsAerge projegts,`y •;•' ;: •= : <br /> COMMERCIAL Attach{3}`coinpiete sefs'of Bullding'Plans plus a Cife Safety Page,�(1}set af Energy Farms.R O-W Permlt for newi canstruc�an. <br /> Minimum ten(10)working days after submittal date: Required onsite,ConstrucUan Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faoilides&1 dumpster.Site Work;Permit for all new proJects:All commercial requlrements.must meet compllanca <br /> SIGN•PERNIIT Attacti{2}s`ets cf�Engineer.edrPEans.. , - -_ . ._ � " <br /> •"'PROPERIY SURVEY reguired for_all NEW construcUon. <br /> Dlrectlons: . _ - . . <br /> F(II out applicatlon completely. <br /> Ownar&Cvntractor slgn back of appltcaUon,notarizad <br /> If aver�250d,a Nottce of Commencernent Ca requlred. (AtC upgrades over 5►500) . <br /> '" Agent(far the`contractor)�"or`Pbw`re�of Akkomeyi�(fo�the owner)�would be�someone with notarized letter from owner autha�lzing same <br /> OVER THE COUNTER PERMITTING -.�(Front of-APAIIcatEon Oniy}--- - ` <br /> Reroofs if shtngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-f�ot aver Counter if on pubfic roadwrays..needs ROW <br /> � <br />