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From: 04/09/2018 15:41 #788 P.002/009 <br /> ' � K�� 7^u _-���=�ys <br /> e�a-�eo-0o2o City of Zephyrhiils Permit ApplicaBon a�c•8�3'�6�4z� <br /> Buflding Deparlment <br /> Date ReceFved pl�One Contact for Permittin �! �v �`�' <br /> '1(TrY'rrr�- — <br /> Owner'e Name f '(� Ownet Phone Number <br /> Owner's Add�rtso ��. /U Ownor Phone Numher <br /> �,2�ci.nQ�. <br /> fee Slmple 7lqehotdnr Name 1 ���� pwnor Phone Numbor <br /> �..�.i�.c.rv i n a i i. � � � ��. i i <br /> J08ADDRES3 c� �, t vr � wr� i i <br /> sus�ms�oN � � Pa+sc�.ws •�•�/- Q�tD• �0 6 U, �G� � <br /> (OHfAPffD FROM PRDPERiY TAX HOTICE� <br /> WORK PRBPOSEp e NEW CONSTR 8 ADOlALT � 910N Q Q DEMOLISH <br /> INSTALL REPAIR ���C� <br /> PROPOSEG USE Q SFR � COMM � OTHER <br /> Trre o�cons�xucnorr Q BLOCK p Fw,�u+� � srE� p <br /> DFSCRIPiION OF WORK ,� � �r� i �'.S n�- r ! •5'�� <br /> BUII.DING S¢E SQ FOOTAGE� HEIGHT � r • �C�Q�t C Q� ( 2�L� <br /> 1 �i'��,�,• <br />, QBUILOING $ VALUATION OF TOTAL CONSTRUCTION �1 CJ� �..C i!G�Q�Q Q� <br /> QELECTRICAL a j J �• G` AMP SERVICE Q PROORE83 ENFACiY Q W.R.E.C.`f_ ��"""'—1 <br /> Q / l0 '�'E, �r�a �� <br /> PLUMBlt3fl $ <br /> QMECHAN�CAL $ VALUATION Op MECHANICAL INSTAUATION <br /> i QGAS Q ROOFINC3 Q SPECIAL?Y Q OTHER <br />, FINi3HE0 FLOOR ELEVA710NS FtOOD 20NE AREA QYES NO <br /> BUILOER C061PANlf , <br /> SIGNATURE qEC�sTBtFo Y!N �cunt�r. Y!N <br /> i Addresa Llaense# —` �: o (`.� <br /> / � 1 �� <br /> ELECTWCIfW COMPANIf ^C ' � <br /> C � <br /> SIGNATURE RE61S�n Y!N FEECURRH. Y/N <br /> Addreee Lksnse# � V <br /> IPLUMBER � � Cqh1PANY <br /> ISIGNANRE f�cisT�n Y!N p�curut�n YfPI <br /> Address Llcense q <br /> IMECHANICAL COMPANY <br /> 81GNATURE f�a�rer�n Y/N �cura�n Y1N <br /> Addrcss Ucense# <br /> OTMER COMPANY �� <br /> S16Nq7I1RE NEnqTEaEA Y!N FEECURREh Y!N <br /> Aaidr¢ss License# <br /> IIIIIIi11111tIt111 � 1111111111111111t { lilill � lllllllll � lllll11111111 <br /> RE81DEN7'U1L Attach(2)Plot Pfans;(2)sets ot 6u�ding Plarm;(1)set of Enarpy Fprma;(i-0-V1I Pmmtt iw new con9truCtion, <br /> Mlnlmum ten(10)working days efter suhmitlal date.Required ansite,CanstrucUon Plans,Srormwater P�ns w!S�I Fence histailed, <br /> Senitary FeciHties&7 dumpsfer,Ske Work PermRtasubdMsb�flerge�eaJacte � <br /> CO�MBtC1AL Attech(2)comptete sats of Bullding Plens plus a Llfe Safety Pege;(1)set af Energy Forms.R-0.W Permk for new canstrudbn. <br /> Minimum len(t0)working deya efter aubmittal date.Requlred rnsite,Constnxtlon Plerm,Stormweter Plans w/Stlt Fanca Uis[aNed, <br /> Sankary Fac�7'ities&1 dumpster.Site Work Permit for atl new pro�eds.Atl cammerdei requirements must meel compffence <br /> SIGN PERIYIIT Attech(2)sefs of Enyfneered Plar�. <br /> •^•PROPERTY SURVEY required iw ell NEW construction, <br /> Directlonsj - <br /> FlII out eppflcaUon comqetely, I <br /> Owner&Contracror sign 6ack of appGwUan,notarized <br /> H ova SZ500,a NoNce o1 Commencemeht fa required. (I11C upytedee over�7300) <br /> " Agert(for the conkactw)or Power oi Attamey((w the ovmer)would be someane wiih notar¢ed tetter irom awner authoriang sama <br /> OVERTNECOUNTERPERMI7TING (copyofoontradrequired) <br /> RerooTs If shingles Sewera Servke Upgrades A/C FencPs(PbUSurvaylFoatage) <br /> OHvewaya-No!aver Countet M on pub6c roadways..needs ROW <br />