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, 81378D-OD20 City of Zephyrhiils Permit Application Fax-913-780-0D21 � <br /> Bw7tling Department <br /> DatgReeelved � ✓� '�! /� <br /> �" , l Phone Contact for Aermittin � � - 1�v <br /> ee� r�arr- ���,.,,,�(�. g� r�� /,, . <br /> OwnePs Neme C/1 (A�Q r �rPhcne 1dum6er � t/>��� <br /> Ovmer's/Wdress "l�i .�'9�7�Y�.7 S V ' Oamer Pharie Number �-^� <br /> Fee Simple Titlnholder Wamo Oerrio�Phona Numbar <br /> Feu Simnle TiUohoiderAddreae <br /> Jo9AD�RES3 V" �OTg � <br /> SUBDMSION PARCEL IDtd <br /> �osraam FRaa raor��rr nuc�,once� <br /> WORKPROPOSHD B NEW CONSTR e ADD/ALT � SIQN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U6E � SFR � COMM � OTHER ' <br /> TYPE OF CONSTRUCT[ON Q BLOCK �o FRAR9E U STEEL Q ' ' � ' <br /> DESCWPTIDNOF WOftK ��Et `�'� �i�� �'1��.��1�raa7 �� ��� ��L1V �V GJ� <br /> BUILDMG S!"LE SQ F60TAGE .� � HEIGHT � `��_r,r����,��+ . <br /> '9- <br /> -c-��s-v-r�r�-r-a-€�-e�s� -r�a-a rs-r--o-e-a�e�-r-4-�rr�-�-�-r� ���(��__,�� � , <br /> �BUILDING S �� y��� VALUATlON OF TOTAL CONSTRUCTION ���j�� � <br /> VV <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W,F;EC. <br /> QRLUMBING 3 ,n�� '' <br /> � 6�/�� <br /> ��� � ;; <br />, �f✓,�CHANfCAL $ - VRLUATION 6F MECHANICAL INSTAILATION , <br /> QGAS Q ROOFING Q S?ECIALTY Q OTHER � ` <br /> FINISHED FLOOR EL FLOOD ZONE AREA QYES NO <br /> BUILOER r��Ca t��v K�iI'�S �1b"Yit �:oY1��s D r1 (V�'� , <br /> SIGNATURE RrG18TERE0 Y/N �cuwten Y/N „ <br /> Addreae � � Licc�se# �/t ZJ�'J�-!�� <br /> EIECTRICIRfV ��� L,REO�c,isrERED YI hl� p��iL'�'�'Vd�.. �� <br /> SIGtdATiIRE <br /> A$drorss llcense# � <br /> PLUh76ER COFAPANY Q V�U� "l VYYS�t <br /> �. , ,��.. <br />, SIONATURE � r+Ecis�o Y!W FEEWRREA Y! <br /> ltddrese License# �r���d(v�'�� � <br /> MECHANICAL -i CJ ��5pr� `Y/N� F�uttRen'r Y' !N� ��. <br /> SIOR7A'fURE <br /> Addross tlranse# � <br /> OTHEA COAIPANY ;�. <br /> SIGMATURE � REqSiENED Y/ N t�E Cuit� Y 1 N <br /> 4 <br /> �ld[IfeSS C"tLCt1S@ fl 'i <br /> Y1691➢ 1l91EIE�IBtYY1DB81BI0EAIl01tC17E6961AIC611l961311Al1lPHYff1 � 1f <br /> RESIDENTIAL AY�2ctl(2)"Plot Plans;(2)seis oi BuOding Pians;St)set oTEnergy Fam�s;R-O-W Po�mit fw rrevrconst`uction, <br /> �nimum een(t0a waricing days aftar submitlal deW. Requlred onstte.Conslructlon P1ans,Starmwater P1ens wi sill Fcnce installed, '' <br /> Sanitary Facilities&1 dumpstar,Site Work Perml[iorsubdfvisionsliargc projc�cis ' <br /> COR9P7BRCIAL Atlach(2)complete sels of Buildir�Ptans plus o Life Safvty Page;(1)set of Enargy Forms.R�O-W Pettnfl fornew eonstruction. <br /> MiNmum ten(10)worktng tlays aRer submitlsl tlete. RequirM misite,ConsWction Ptans,StortnwdterPlans w!S7t Fence inslalled, <br /> Sanitary Facliti�&7 dumpster.Sile Worlc Partnit tor ati nowprojuls.Atl commetcial requirements must meet compliance jj <br />' SIOH PERp9R Attach(2)sets af Engineered PJans. <br /> ""PROPERTY SURVEY raquired for afl NE1N cwutrudion. <br /> Dlractlo�s; <br />' Fill ou[a�cation wmpletely. �, <br /> Qrmer 8 Contractarsign bacK of appllcation,natarized ' <br /> tf aver$2590,a Ploflea of Commoncement IB mquirnU. (AfC up3rades ovor$7500) <br /> " Agent(for the contratfor)or Porfer of Attomsy(for the owner]woub be someone v.3th nofanzetl lettat from oWtter authorkinp same <br /> 01/�R TH�COUHTER PERMIT11N6 (wpy af cantracl ieyufr�l) �,� <br /> Remofc H shfngles Sewera Service Upgrades A1C Fences{PIoVSurvay/Fdotage) �: <br /> I.: <br /> i Drfveaiays-Not over CouMer it on public roadways..needs ROW <br /> i. <br /> �:' <br />' �'. <br /> 3' <br />