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�,�-�a�-�,utv City of Zephyrhilfs Permit Applica#ion FaX s�saeaoa2�
<br /> 4 ,_ , � Building Deparkment
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<br /> Data Received ph��.�ontact for Permlt![n 1 ��� - ��1�,�1
<br /> Owner's Name 1�s�/``�� I`/` �=�-Gt� l�� Owner Pfione Number :.+c�'" ��T"' �Z"
<br /> Owner's Address L�� ���e �"-�'• ��rf�S Owner Phone Number � �
<br /> Fge Sfmp}e Tlttehaider Narrse � � Qwner Phone Number � �
<br /> Fee Simpte Tittehoider Address
<br /> JOB ADDRESS � ���� k�r'�I��� � � a ���!`3 R.OT# ��
<br /> SUBDiVISiON �77�E�Yl1`14��l�:�ilt/ �.S PARCEL ID# � d'!.�' �G �/!J G//!� �`�
<br /> (OBTAINED FR4M PROPERTY 7AX NQTlCE)
<br /> WORK PROPOSED NEW CONSTR ADD/A�T �� SiGN Q Q DEMOLISH
<br /> \ e INSTA�.I REPAtft
<br /> PRQPOSED�USE Q SFR Q COMM' � OTHER
<br /> TYPE OF CONS"tRUC'I10N Q Bi.00EC ' Q FRAMH � STEEL Q
<br /> DEBCRIPTION OF WORK °'C�• �Gf �/`/`�"/1J ,L aGGG p�. G��"� D�G/J�j � �D/f
<br /> �UlL.DING 8lZE ����� SQ FOOTAGE�_`� HEIGHT C`_.
<br /> _,,_,„�
<br /> QBUII,DING �� VALUATION OF 70TAL CONSTRUCTION
<br /> QELECTRICAL ($ i�� AMP SERVICE Q PRt?GRESS ENERGY [� W.R.E.C.
<br /> ��_
<br /> QPLUMBING �� '
<br /> QIVlECHANtCRL �^� VALUATIQN OF MECHANICA�INSTALLA710N
<br /> �d.oe,�.
<br /> QGAS Q ROQFItVG [� SPECIAITY �� OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> BUILDER COMPANY
<br /> SIGNATUR� REGfBTEREQ Y J N FEE CURREi� Y I id
<br /> Address L1Cense# � ���
<br /> ELECTRtCIAN GOMPANY
<br /> SIGNA7URE � " REGlSTERED Y J N �E@ CURRE� Y/N
<br /> Address License# � �
<br /> PLUMBER COMPANY
<br /> SiGFtATiJFtE � REGlSTERED Y/ N FEE GURREI� Y i N
<br /> Address license# � �
<br /> MECHANICAL COMPANY f�f�� 1}i/1�.L��"�G�i c�L°i
<br /> SiGNATURE � r � �����?C�� REGISTERED Y/ IV FEE CURRE� Y/-N
<br /> Address '��" /�"y/Grv � G.��ll � ��5'�/ Licensa# ���,��df�~�
<br /> OTHER � � .COMPANY - .
<br /> SIGNATURE , REGISTERED Y/ N FEE CURREA Y/N
<br /> ,_,_.,__.__,_.,_,_,_,�,
<br /> Address Lfcense# �` � �
<br /> R�SIREMTIAL. Attach(2).Ptot Plans;(2}sets of�Buitdi'ng��Pians;(1)sef of-Energy�Fortq's;R-O-W Permlt for new canstruction,
<br /> Minfmum:ten(10)warking;days.after,.submittai date. Requlrei!onsite,Construction-Flans;Stormwater Plans w/SUt Fence installed,
<br /> _.- _ __Sanftary Fadi{des.&:1;.dumpster,�Site�Work;Permit#orsubdivisionsAarge projects � _
<br /> C04NMERC{AL, Rttach{3)camptete sets�-af Buitdtng Plans�pius a Life Safeiy Page;(1)-set of Ertergy�orms:R=O=YV-Pe�rr�t for nsrd c�ns+����on:_�__�M_�`._��_�
<br /> Minimum ten(10)war4cing days after submittai date. RequUed onsite,Construc8on Plans,Stormwater Plans'w!SUt Fenca lnstall+ed,
<br /> Sanitary Facifities&1 dumqster.Site Work Pertnit for all new projects:All commercial requlrements must meet compllance
<br /> SIGA!PERMIT Attach'(2)sets of Engtneered�:Ptans. -
<br /> ""PROPERTY SURVEY required for at)NEW constructlon.
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<br /> Qirections:
<br /> Filt out appticaiion completety.
<br /> Owner�Contractor sign back of applicatlan,natarized
<br /> ff over�2800,a Notice of Commencement is requtred. (A!G upgrades over;7500) �
<br /> " Agent(for the cantra�tbr}or Powet of Attomey'(far the owner}wautd be someone wittf notarized tetter fram owner authorizing same '
<br /> DYER THE COUNTER PERM(TTING (Front of Application Only)
<br /> Reroofs if shingles Sewers� " `" Servloe'Llpgrades"A/C '"'1=erices(Piot/SurveylFaotage)
<br /> , . . .,....._.�.-....- ... _.: ..,_ ,�,..�..�,..�:
<br /> Drlveways-Not over Counter ff on putilic roadways..�eeds ROW , -' •� . ;`
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