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81�.�aa°°2° City of ZephyrhiUs Permit Application Fa�c$i3780-qp21 <br /> au7dutg.oepartmenc <br /> Dat�ReceNed � P�vr phone Go�Ract for Pertnittln O�-� Q C� <br /> ` Ownsr's Name . �f Q. �{�� (j r�'1. Owemr Phorre Number . t7" !� '"' <br /> Ownefs Address ����F Pho�Numi�r � � <br /> Fee Simple liNeholder Name ' Owner Phone Number . <br /> �� Fee Simple Tidehoider Addreaa <br /> sasanot�ss. � �fft�W' �J�`. �� S tar� � <br /> SUBAMSION �� '►� I�.�c�. p��.�� �z--z�.a�-oa�-�asno- oaoo <br /> {08TRU7ED[ftOM PRt1FEt2TYTAX NOTtCE} <br /> WORK PROPQSED NEYu CONSTIt ADDIALT � SIGN Q [�D MOLISH <br /> I e lNSTALI. 8 REPAIR <br /> PROPOSEQ USE � SFR Q COMM � OTFtER <br /> iYPE OF COMSTRUCTIQN Q BLOCK Q FRAME C� STEEL ,�i <br /> DESCRIPTION qF WORK G�c��i� ���� <br /> BU1t.D1Hii SCZE E- i�f7n'(��"+��] SG FOdTACsE�_�. HEtQFtF � ��. <br /> C]BUILdING $ �.y�,y� ,�v�� VALUATIONOFTOTALCONSTRUCTIOIV <br /> 8 4'r1/*�"'i.] <br /> QELECTR(CA4 �-� hM1fiP SERVICE Q PROGRE58 ENERGY �J W.R.EC. <br /> QPLUMBtNG �� <br /> QMECHiINiCAt �Y� VALURTIONOFMECHANICALlNSTALLA7IQtJ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER. <br /> FINISHEDFCOORElEVATtflt35 FLOODZdNEAREA QYE3 PIO <br /> .._. ....,, ...,,, � . r�-�,.�-� � <br /> BUILDER COMPANY I a�.a,dfi a` c� (/�iQ � <br /> SIGNATURE rx�GlwTer�n Y/ N �cuRRQ.ij,,Y!N <br /> aaare68 lL,l � ro u��# {�13Jj��'-� <br /> � ELEGTRtCtAN COMPANY � . <br /> SfGNATURE a�tsrEam T�Y!ci �cutta� YlN <br /> Address Lit�nse#�^ � <br /> PLUMBER � � COMPANY <br /> SIGNATURE � REGISiEREO � FEE CURREt� Y/N <br /> Address license#� � <br /> MECNAHiCAL COlN�APtY � � <br /> StGNATURE � REGISrEt�a Y/M �CUitRR� Y/N <br /> Addre&s 1lcense#�� � <br /> OTHER � � �GIStEr�n Y/N rg WRREn Y/N � <br /> SIGrIA7URE <br /> Address Ucense#� I <br /> � ri� � i � � � i� i � � i � � � � iri � i � � � � � � i � � r � � � r � ��r � � � i � � � � � � � � � ri �� r� �i � � � i <br /> RESSDEFiStfit. Attach{2}Ptai Ptans,(2}sets o/Suitffng Ftans;{t}se#af Energy Faans;E2-O-W Permit for new coashuciinn, <br /> Minimum ten(tp}workirrg days aKer submittat date.Required onsite,Construc5on Pians,Siiannwater Pians wJ S�lt Fence insYaIIed, <br /> Sanitery Facil�ies&t dumpster,Site Worfc Pecmitfor subdivisionsll�arge projscts <br /> COMMERClpL Attach{2)complete sets riFBuitdng Ple�c;plus a Life Safety Pege;(1}set af Energ}r Forms.R-13-W Permft for new construcCibrt_ <br /> Mintmum ten{18}v�rkiru,}days afret suDmittat date. 32eqnired otrsite,CansWcfian Plar�s,Stormwater Pta�wt Siit Fenc�InsffitEed, <br /> Sanilary FaciliGes&1 dumpster.Site Wodc Permit fo�all new proje�cts.AII oommeroial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sels nf Engineered Plans. ` <br /> ""PROPERTY StJRVEY required for atl HEW consttutdEon. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> orracdons: • , • , • , •• • , �,• , <br /> F7I out appfication comptetety. <br /> O+rmmer 8 CartraGkor sign baqc a#apptication.natarized <br /> if over f250D,a NoBee of Commencemeat is reqstired. (AtC upgrades over i7�4} <br /> " Agent(far ihe cor�ractor)or Power ofAttomey(for the owner)vmuld be someone wifh natari¢ed leiber from owner authaiting sa�rre <br /> OVER iHE COUHTER PERM17TiN6 {r�py af con#ract�equtred} <br /> Reroofs if shingles Sewers Service Upgrades NC Fences(PtoNSurvcylFootage) <br /> Drfv+eways=Maf over Couriter ff an public raadways_needs ROW <br />