|
, e��-7eo-ooao Ci#y of Z�phyrhilis Pertnit Application �ax s��7so-oozi
<br />� Suilding Degartmeni •
<br /> � A ,
<br /> D�te Recelved "' ' Phone Conffict for�armtttln - �t� �[V� 1�
<br /> Owner's AJ��e►e 1,r �1 ! Y � Owner Phane Nurrnber
<br /> Owner's�ddra�s �. �t"- Owner Phon�Numb�r � �
<br /> Fee Slmpte Tltlehofd�r Name Uwner Phane Number � �
<br /> Fee SimpP�TttEeholder Atldress
<br /> JbB ADDl�ESS � ��`. , l.- LOT# C��
<br /> su�o�v��ao� �� \��1`�/�[..A C1 1 P.4RCEL Ib# ""�l�- �"C70"1(� —�C?l i�(�— 0�v I l�
<br /> , (087AINED FRdN1 PROPERTYTAX NOTICEf
<br /> v1►dRK Pi�BP�OSED , � �uEw cowSrR� ADD/ALT �� SiGi� [� � �EMOLiSH
<br /> tNBTALL REPf1iR
<br /> PEtQPOS�R-USE [� SFR Q COMM Q 07HER
<br /> TYPE+L1F COPISTtaUGTICIt� Q BCQGK " C] FRAME � STEEL Q
<br /> �, . .i ` .
<br /> DESCf�IP'TION OF WORIC ��� 1 a �
<br /> BUILp1NG St2.E SQ FQOTAG���___� HEIGH7 ���
<br /> 0��}�}�G r� VALUATION:QiF 1'OTAL COiVSTR'IJCYION
<br /> ' 1.��.
<br /> i �ELEGTRIGAL $ �� AMP SERVtCE Q PR06RESS ERlERGY W.R.E.C.
<br /> - � ,�� - , �
<br /> � OPLUMEII�10�- $ � "
<br /> 10� � . �� .� . �
<br /> QMEGHANICAL $ VAlUAT[OP!OF P�r1ECtiANlCAL ti�lSTAl.tATlOf�! ��
<br /> ��,� w�
<br /> ; :QGAS ` Q ROOFWG .Q SPECIAL"fY � QTHER _.
<br /> ' FIMSHED FLOQR ELEVATIONS � � ELQOD ZONE AREA QYES. NO �
<br /> �
<br /> BUlL�El2 t:{�MPAI'rFY- - - - � _ �
<br /> SIGIdATURE etEc�s�� Y t N �E cu�r. Y t N - - -
<br /> Address ' - C.Icense.# ( � " :. . � =.—..� � ,
<br /> �LEG?R!ClAl+l:� COMPANY` ' _ - --
<br /> 'SIGNA7URE '' �Ec�s�aeu Y/ N F�cutiRea�. . 'Y l N . -.
<br /> Address • �(cense# [- _ $�� '
<br /> �n . ;
<br /> lPLUM�Ei� COMPANY �� i �V t Y�. ���.:
<br /> a
<br /> SIGNATURE REG�3TERED Y.!-.N . FEEGURREt� Y - -
<br /> i
<br /> �ia{IC�88S ��1 I t'1��, t�t'Yt P R!`. uCC11S8# ��- V 1 ;,r� o� - � i
<br /> iNECHAP11CA1: - � � co��a�ir - � i
<br /> SiGFlATURE � t�cistEREo Y/ N _ - r�e curt�n_ . Y!��! � - = ' �
<br /> Addeass ` � = . _ ' Ucense# , (
<br /> . . .
<br /> _. � .- ._ ,
<br /> , . - ' -�
<br /> OT'NE� ' �- � �CQMPt�l+1Y � _ , . ;
<br /> S1GN�►TURE - " REG�STEREn Y/ N.__ ' FeE CURRE� � Y!N • � �
<br /> �
<br /> Addre�ss • � � - > i iceitise#• ; , �
<br /> - �
<br /> �RESIDEPiT1At;: �AttacFi'(2)Ploti:Ptaris;.(2)'set§"ofBullilirtg�P.lan`s;(1)`sefofErtergy:Eo`rm's;-:R-q-1N�Perinttfnrnsw,constructican; ;, , �
<br /> Mintmum.t�n�{:10)working;days afber,"submitfal'da#e�::RequGed onsite;`Consfiictlon Plans;Stormwate�Pla��,�,k��,c�ir�ss.�i:�?, �
<br /> � SantfaryFacliities.&.'t.dumpster_Site:Warir�Fermitfarsu,hdivisions/iargeProjects� -° -_, '' ;
<br /> GOIWME�3C1� Atkach(3)c�mplete sets of Butldirig Placis plus a l.ife Safety�Page;{'t}se#af Ensr�y Far�ns.F2-O-YY P��-,�r,�r�-�r� '
<br /> Minlmum 4en(10)working days after submlttal da#e. Required onsite,CansWt�Fl�s.Sta�mv.�c e�3�s vi^�t�er���� '�
<br /> Sanitary Facitttles&1 dumpsfer.Site Work Parmi#for alt new pcoJects.AIJ comm�rcat r�quire�na��r.3sis�rr.�c�ng�-r�e ' i
<br /> SIGN PERN!!T Attac(i'(2}"sets of Engirieered:Ptans.= - � - . - - � � , ;
<br /> ""PROPERTY SURVEY_requirecl_for atl NEV4l construcBan._ - _ � �
<br /> Dlreailon�• -�• . - . - -- ''s
<br /> FlII ou#applicatton campletely, ' . � � � '
<br /> Owner�Conbactor slgn bach of appttcatlon,notarized • � _ • � - ,� ��
<br /> � �f a�rar SZ�OQ�a No#[ce of Cammencem�n�t�r�quires�. {AtC up�rades over 57�Ofl) ,
<br /> �,����is cos►tractor}or Pawer oE t4tta�ey{#or tiie awmer)`woutd bs someane with notart,ied lettes.fmm ownet aufhoriztttg same'_ "
<br /> e�� ,�^�'""a'�.P�3iCF13t�tG . {Ftvnt af Appltcatio�Oniy}' _ : _ ..� � -
<br /> �� � .� Service Upgrades A!G -- Fences{P.laUSurveylFootage) _ ��;
<br /> , ' a fs_sa�ec3s f20W -- " �� ' - '
<br /> %�;�-�;��� -_ , , .
<br /> '�,. � - �.;�.. _. _
<br /> . . - :4 a
<br /> .�o" . -.
<br /> .. �
<br /> • ' '" '_' "' ". _ . -
<br /> ..,....+.v,M.r-.+':"_ „v.. ....__.. . , ,.. _. , .., --
<br /> �.�^ '` _ � rt+�i _t, �, ' _'-'__..��' _'"�... '_'_ " ' '" `
<br />
|