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, , a��-�so-oozo City of Zephyrhilis Permit Application Fa�$��-�so-ao2� <br /> Buliding Oepartmerrt <br /> Data Received 3 � �� phono Contact for Permiriin I� � p — ` <br /> ear tr,�.:ms �o�r�►�.rc�cU o�} n <br /> Owners Name 9 r C- an• nj' OwnerPhona Number <br /> � � N oG�nnor�Ivct $u,�tit vGo �"�"� <br /> � Owner's Address i n c o " Owner Phorte Num6er <br /> Fee Slmpte TdUeholder Name Owner Phorte Number <br /> Fee Sfmple Titleholder Address <br /> JOBAD�RESS 1�� I • LOT@ � <br /> SUBDIVISION � PARCELID!# � �S—� �O� �"O O� <br /> (09TA1NED FRON PHOPFRTY 7AX HOTIC� <br /> WORK PROROSED e NEw cONSiR 8 ADDlALT Q SIGN � Q �EMOLISH <br /> IIdSTALL REPAIR �� <br /> PROPQSED USE Q SFR � COMM Q OTHER <br /> TYPE OF COtdSTRUC710N Q BLOCK FRAME � STEEL Q <br /> DESCRIPitON OF WORK �,I 1 ` GhR 1"1i1�I t2 �Cei.J <br /> �� <br /> BUILDING SIZE SO FQDTAGE HEIGHT � <br /> �BUILDING $•'1 � VALUATION OF TOTAL CONSTRl1CTION <br /> O� <br /> QELECTR�CpL a AMP SERVICE Q PROGRESS ENER6Y Q W.RE.C. <br /> QPLUMBING $ � �//� <br /> �J� ���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �, v /�/ �� � <br /> �/� U. � � <br /> QGAS Q RdOFING Q SPECIA�N Q OTHER / �, � �,/� �Q/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO t(// �U <br /> � � ��� <br /> BUILDER � .. r� � , COE�PANY l� Y � _ S� cSIG�� ��� � �( � <br /> /� ` �— `� .0 � � K\ �Y A laV <br /> SIGNATURE � f l�v i ! a�w�x�n Y/N F�cuRR� Y/N -�� <br /> Addreas �.S � �'�s'Y D '� 1 �� ����eer�se# Y-- � Unv���� <br /> ELECTRICIAN �,F`/���. �("J � COMPANY �r./Zf�L c�C C\1d1 � � ! '. � 1 � <br /> SIGNAIURE �,�� rtEcrs7ERm Y/ tJ FEE CURR Y!N ���1��G1 <br /> Addre&s ���•J ��^" �'e �1 f�S.� �]�Z- ucense� �`t`S''d •-�,�1 `�d-e.�l�`1�11}'�(�, <br /> PLUMBER C0�9PAHY ��+�.n►'I LL�-x <br /> SIGNATURE REGI3TER� Y!N FEE CURREA Y/N ���� <br /> �0� <br /> Address UcensetF � <br /> MECHANICAL COMPANY <br /> SIGNATURE aecisre� Y/N rfE cUaaEn Y!N <br /> Address License# <br /> OTHER CONlPANY <br /> StGNATURE REGISTFRED Y!N �cu� Y/N <br /> Address LlcerMe tt <br /> tllllllllllll� llllt111t111I111 / 1111i111111t1111111111111111111I11I1 <br /> RESI�EPITIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(1)set aT Ertergy Fortr�s R-4W Permlt for new construcUon, <br /> Npnimum ten(10)waking days aRer submittal date.Requlred mislte,Conslruction Plans,Stortnwater Plans wl Sitt Fence installed, <br /> Sanitary Fadiitles 8 7 dumpster,Site WoAc Permit fw subd'rv"stonsllarge projects <br /> COMMERCtAL Attech(2}c�mplete sets of Bulldtng Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construGlon. <br /> Minimum ten(10)vrorking days after5ubmfttel date. Required onsite,ConsWclian Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary FadUUas&1 dumpster.Site Wwk Permtt for all new projects.All commerCi&1 requirements must meet compliar�e <br /> S(GN PERMIT Attach(2)sets of Engineered Plans. , <br /> ""PROPERIY SURVEY required(or atl NEW consWdfon. <br /> l_W <br /> DirectEoRe: <br /> Fill out application complelely. <br /> Ovmer 8 ConVactor slgn back of apWlcalion,nMerized <br /> If over 5�0,a Nodce of Commencement is requlred. (A(C upgrades over$7500) <br /> ~ Agent(for ihe cantrador)or Power oi Atromey(tw the rnmer)v.vula De someone Hn1h notarized lerier from ovmer guthor'rdng sem e <br /> OVER THE COUNTER PERMITTING (eopy of coMrecl required) <br /> Reroofs d shingles Sewere SeMea Upgredes A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Caunter H on publlc roadways..needs ROW <br />