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<br /> 813-�eo-oo�o City of Zephyrhilfs Permit Application Fax-s�aaso-ao2� '
<br /> Buliding Department �
<br /> Date Received � i
<br /> Phone.Cantact�for�Percriittln �
<br /> _ . , i
<br /> Ow�er's Name /i2 Ownet Phoae Number
<br /> Owner's Address Owner Phane Number � � i
<br /> Fee Simple Tlkleholder Nam� Owner Phane Number �� �
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<br /> Fee Simple Titleholder Address '
<br /> JOS ADDitESS V �� 1��� L�.- LOT#
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<br /> 9U801VISION � � pARCEi,tD# c�� �l d�/ v C���OZ� �Q
<br /> � (OBTAINED FROM PROPERTY.TAX NOTICE)
<br /> VYORK PROPC}SED - NEW CONSTR ADDlA�T � StGN' Q Q pEMOLtSH
<br /> ,. INSTALL 8 REPAIR
<br /> PROPQSED.USE Q SFR [� COMM �� �OTHEF2 '
<br /> TYPE OF CONSTRUCTION Q BI.00K " [� FRAME �] 'STEEL []
<br /> DESGRIPTiQPI OF WORK` •� � `e d U �
<br /> 5��������f� �-SQ FOOTAGE�� HEIGHT
<br /> ���������'' �� VALUATIONytJF"i'O'i'AL COySl'RUCTION
<br /> ��.J �
<br /> QEI.EGTRICA� ($ " � AMp SERVIGE Q PROGRE58 EIVERGY Q W.R.E.C. 1
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<br /> OP_LUMSING C� � __
<br /> MECHAIVICAL $ '� VALUATlQN OF�MECHANIGAI tNSTALLATIt?tV
<br /> QGAS Q Ft�OFiNG .Q SPEGIA�TY �� OTFiEE2
<br /> FINISHED FLOOR ELEVATIONS r�� FI.00D ZONE AREA ,QYES ,NO ;
<br /> L ;
<br /> S.
<br /> �u��.o�� cot��;a�nr � �
<br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N- !
<br /> Add�ess � [tcense#'� � '
<br /> ELECTEilCIAEI_.,- , � �OMPANY � � - �
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� ' Y/N
<br /> Adcire�s , License# �� " . �
<br /> PLUMBER�' CQtV01PA�lY y ..
<br /> SIGNATURE' � `� REC3ISTERED YJ,N.� FEE CURRE� Y/N.. j
<br /> 1�►ddFOSS . ' ,11C@RSQ# � �� . ��
<br /> �MECHANIGAI:' ;�, � -� COMP,,AI+lY `P C��G �C�" C `��� Q � �
<br /> SIGNATURE� � � REGISTERED., Y.J N FEE CURRE�' Y/�N :
<br /> , i,
<br /> Addtess.';- , , � _ . � License# (��� ���%�l� I
<br /> O�iEEt � _ � . . :'COMPANY _ � '
<br /> SIGNA7URE � '-:• .' ': ° - ' REGI$TERED Y/ N... � FEE CUR�n Y/N i
<br /> Address� ,� , _ . . . , _ . ` CEcense# ' i
<br /> RES}DEN'FIAl:;=} Attaeti:(2);Ptot�Plan`s;:{2}sets`of:E3iiiiding��Flarzs;{1}�'sef of Energp>Foirn's;fR=O=W PeiiniE for new constnrcHori, -
<br /> -�,Minimum:ten.(•10);worlcing days,atter."subtnitfal`date.� Requlred ons{te;.ConstrucHon-Rians;�Stormwater Plans w/Silt Fence installed,
<br /> _ _1��., ......: , ,
<br /> � Sa�itary Facilides:&;1::dumpster,S(te•Warlc:Permit forsubdiVisionsAarge:project�;:.,;, , .
<br /> COMMERCIAI. Attach{3)'camplete sefs of.:Bullcling Plaris plus a I:Ife SafetyPage;(1}set of Energy Farrns.R O-W Petmlt for neur canstnsctton. -
<br /> - � Minimum ten(10)working days after submittal date. Required onsite,Ganstructian Plans,Stormwater Plans w/Sllt Fence fnstaUed,
<br /> Sanitary FacUities 81 dumpster.Slte Work Permik for all new�projects..All commerofal requirements.must meet compllanca � �I
<br /> S16N PERMiT AttacFi'{2)`sefs of Ertgiiieier.edYPlans.�� .�,�;. ' <, .�,.
<br /> """PROPERTY SURVEY,regufred,for ail NEW canstruction.. �
<br /> Dlrecttans: -- -. . � .
<br /> FIII out applicatlon completely. ,
<br /> Clwner&Cantractor sign back of appltcatton,notadzed '�
<br /> tf ovar$�!500,a Natice af Cammencemen#is required. (A!C upgr�des aver�7500j '
<br /> .::,,,�:�;.;�. ,
<br /> "' Agent(for the i�nVactor)ar`Power of Attomey(for ttiebwner)would be�someone with natarized lette�from owner authorizing same
<br /> OVER THE-COUNTER PERMITTiNG - {Front of Appilcatiom Only) -
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage)
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<br /> �rivawaya-Mot aver Counter if on publia roadways..need`s ROW '
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