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<br /> a�s-7sa-oa2o City of Zephyrhiils Permit Rpplication F�-s��-7so-aa2�
<br /> � Building Department
<br /> Date Recelved Phone Contact for Pertnittin
<br /> 9 '
<br /> Owner's Name r7Y'�1''l �„-` !�`�-����wner Phane Idumber ,
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<br /> Owner's Address ��� �" °L,� � Owner Phone Number �� �
<br /> Fee Sirople Titlehoider Name � � Owner Phane Number �, �
<br /> Fee SQmple Titleholder Address
<br /> J4B ADDRESS J�J�� L�� LOT# �__�
<br /> SUBDIViS10N �— � PARCEI.iD#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> W4RK PROPOSED .. NEW CONSTR 8 ADDIAl.T � SIGt� Q � Q DEM{}l.EfiH
<br /> iNSTALL -REPAIR
<br /> PROP..OSED USE SFR � COtUlM 0 QTtiER
<br /> TYPE'OF CONSTRUCTION BI.00K - Q FRAME � STEEL, [�
<br /> DESCRiPT10N"OF WC7RK �� TGt.-L� W��� ��'L � O�-{P.O L�� � V �� �
<br /> BUILDING`SIZE �- � SQ FOQTAGE� HElGNT •���� ���''� �������
<br /> OBUI�QING � GJ� �� � VAlUAT10Rt'OF TOTAL CONSTRUCTION
<br /> (J`n�
<br /> .:QELECTRIGAl. �� AMP SERVlCE Q PRO�RESS ENERGY Q W.R.E.C.
<br /> � ,
<br /> OPiu�n$i�v� I_. ._ � ��( �j � 2J
<br /> OMECNANlCAL ($ �� VALUATlQN OF MECNANICAI INSTALIATiON
<br /> L..,,......,,—.,,_,
<br /> OGAS Q RQQFlNG Q SPECIR�'!'Y 0 QTHEi2 (!�! ��
<br /> FINISMED FLOOR,E EVATIQ S FLOOD ZONE AREA QYES NO �
<br /> �� ��u�
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<br /> BUILDER C4tVlP�WY
<br /> SIGNATU E REGISTERED Y�/ N FEE CURRE� Y%N
<br /> Address "License.# � �
<br /> ,�fiLECTRkC1AN - COMPANY �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
<br /> . Address - License# �— � �
<br /> 6,a. F:C:�p", ' �a {�a A��{/ ,
<br /> ���{�i�G,R:,. 'Y�iYICl'i1i�
<br /> $IGNA,TURE _ 'REGIS7ERED ; Y•/�N.� - FEE CURRE� Y/N
<br /> Address License#-� �
<br /> MECHANICAi:,` � COMP.A�IY
<br /> '' ,SIGNATURE'' �� REGISTERED , Y/ N : , FEE CURRE� < Y/N ' ,
<br /> Aiiilress�` ` � License.# r— �
<br /> �.cc;; � >. .
<br /> . c►z�E�.� � _ � � ` ` co�np,�ir
<br /> ,`=`SIGNATURE;�q ,s - ' REGISTERED Y/ N �e eu�;en' Y/N
<br /> � Address,r. � . -�` . ` _ �" , License# � �
<br /> �::.
<br /> ;: . ., -:. . �._ .. . . , .. . .
<br /> �..: ._ :, ,...,. . . .
<br /> .�. . . . . _.,,_ ,. . . .. , _
<br /> •:�MRES1tlENTIAL.�: ;Attach`{2):Ptot=P.lans;,:(2}t"set"s�of�Bu�liling=Plans;{1)set of Ettergy,Fori'ns;R-0=�1 t'errriit,f6r new.consfrucbon, f
<br /> -.: .,...� :: . -
<br /> �� ,. : ,;.7. ��:-.}Minimum�:tenE,(:10);wo,r,king;daysafte�submittal:date:-�Reqaired�'onsite;Con`struction`Plan's;Storinwater Pians w/Silt Fence installed, -
<br /> ,: .,. ,��r...'a�,�_.k,,.: . .,. >r.... ...�. 2 - •
<br /> �s;, � �� Sanitar.y,,FaciBUes;&�,1,;dumpster;�,S,Ite;�Work:Pe�rriitfor';subdiGisions/large;p'roJects... �_` � •- � '
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<br /> :"�GOMMERGI;4L A#tacFi�(2}`comple#e sets of'Building Plans�ptus a��ife$aEery Page;{'E)set of Enetgy Farms.R-Cl-W Permit for new canstruc�on.
<br /> . Minimum.ten(10)working days after submittal date. Required onsite,CanstrucUon Plans,Storrrrwater Plans w/8ilt Fence installed,
<br /> ' Sanitary Facilitles&1 dumpster.Site:Work Permit fo�at!new p�ojects.Atl commercia!requirements,must meet compiiance
<br /> ��:":.SiGF1:PERfit117 `AttacFi.(2)sets�of;Erigineered�Plans:=�� ,. - .
<br /> �`$�= - """PROPERTY SURVEY required.for..aII,NEW canstruc8on.- -
<br /> ::z - - -
<br /> r�Directioris: . ,.� ,. �
<br /> `-� FIIL'out:applicaUon completely.
<br /> � =0wner'&Go�tcactorsign back af applicatioa,nofarized -
<br /> if over$2500;a Notice of°Commsncement Is required. (A!C upgrades over$7500) _
<br /> ' �.;;- ..,, t=:.'c�
<br /> `�'*"' i9genY(for th'"e contraotor)`or�Power•'of>Attomey{for'ttie owner}would tie someone with notarized letter ftom owner authorizing same
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<br /> , "' �� _� i c; � i: � ���,.,,,�,
<br /> ,;i�OVER:7HE COUNTER;PERMiTTfNG;, .�,:,(copy_of-contract�:required)` ��` � �
<br /> _"'Re�oofs,ifshingles Sewers �� �, �Sei.vice,Upg'rades A/C� � F'ences(Plot/Survey/Footage) .
<br /> �`r;> : , .
<br /> Drtveways-Not over Counter if•on public�oadwa'ys:.need`s•ROW
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