Laserfiche WebLink
e�s-�eo-oozo �ity��Zephyrhill� PePrrtit Applic�tion Fax 893-780-0021 <br /> 8uitdirtg Qepactmen4 <br /> Da4�R�eelv�c! � "� '� Phoeae�Can4�c24ar Permt4kin - ��� t1 t — �� t � <br /> Quaner's fllasn� � �K 4 V l.� OuvneP�boa��iumbec <br /> Cteun�r"s�ddress �Q� � l• I"�e5� ' �rvn�r Phon�Rlumb�� �� � <br /> F�e SImpB�Tl�l�holdmr R9am� � �� Owe��sr PG�an�R�umb�r � � <br /> � <br /> Fee Slmpl�Titteholder Address <br /> JO�AD['1RES:� �"� l.1 l C.. � c.�j • LOl'# ��� <br /> ���o�v�s��� ����U�i.�� �,�c��i�� - c� Q - ���-C� �0� -UC� � <br /> (QBYdIN6D FRONN pROPERI"YT�(NOTICE) <br /> �sv����������� , e ��w co�s�� ,�at�l,��.r Q si�� CI C] aEn�o�fs� <br /> IWSTALL F�PAIR <br /> ��o�ms��uS� 0 S��z [� cot�� 0 oT►�E� <br /> YYPfE O�COR9�TRUC'1'pOR9 _ Q BLOCK " �] FRAME � STEEL Q <br /> pESCi�1�Yt�R1�F WCiitK � Y �� �V i ��� <br /> �tll�.�tREG�[� �Q��0�'.�t's��� ti�tGF➢F �__i� � <br /> ��������� �� VAlUAT10N QF TOTAL COiIlS1'RUCTiOiV <br />�'I QELECTRiGA� �� ,hMP 3EFiVICE Q PROGRESS E1�IERGY � W.R.E.C. <br /> �PLUIVlBEfVG $ ����„� ��� ' <br />' � <br /> ( �MECHANlCAL $ VALE1l�TIOP!OF MEGHr4t�liGAl.tNSTRG�I.RTIQN <br /> I ���.,�' <br /> � QGAS C] t�'.pC?FIl�G .�] SPEClALTf � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES iV0 <br /> �UIL��� �O���l1Y <br /> ���'��"�U�� REGIS7ERED Y/ IV FEE CURREP Y/PI . <br /> �it�t�$P�S3 L10Et1SE# � � <br /> �L���Y�@�F� COR�t�A�tY <br /> �'���+���� � REGISTERED Y/ IN FEE CURREP Y/IV <br /> ������ Llcense# �� � <br /> ��.����� �����v �'� ���� ��V I . �, 1 Q� <br /> �'1e'�g`���� REGISTERED Y/ N FEE CURRE� /N ' <br /> #`.4l�Pc9�8 { � ��.{ t I Y t LiC8itS8# ���— �"(_+��� � <br /> 4VI����iRlDC� CmI�F�ARIY <br /> �t���+���� REGISTERED Y./ I� FEE CURREP Y/{N <br /> e�����$� License# � � <br /> OT@i�� G�1i��"�UY <br /> �;G������ REGISTERED Y/ N... FEE CURRE� Y/fd <br /> ����s� S.1cenS�#•� � <br /> �i��l6i��4�'a,Q�l. Attach{2}Flof Plans;(2}se�.s of Buitdfng�Plans;{9)sst of Energy��orms;R-Q-W Fecmif far nerr�c�nstructian, <br /> Minimum.ten(90}.worEcing iiays after.;submlifiaP dats. Requlred onsite,Conskruction Plans;StorenwateF Pians w!Silt Fence installed, <br /> Sanitary FaciliUes&1.dumpster•Stte:Work Permit far subdivisi.ons/large projects - ' <br /> COF�tR9���l� AE#ach{3}compfe#e sefs of Bultding Ftans plus a I.ife Safefy Page;{1}se#of Energy Forms.R O-UV Permi##or neuv constructian. <br /> Minimum ten(9d}vuorking days after submitNai date. Required onsi#e,Cons4ructlon Plans,Stormwater Plans w/Silt Fence tnstalled, <br /> Sanitary FaciliUes&1 dumpster.Site Vilork Pertnit for all new proJects.All commeraial requlrements must meet campliance <br /> SIG�f����#'T ,4t4ach"{2)sets af Engineered Plans. <br /> '•••PROPERTY SURVEY required for atl iVEW consWcUon. <br /> - - -- <br /> Dlc�c�tosas: <br /> F[II out application cqmpletely. <br /> Owner�Cantractor sign back of applica4ion,notarized � <br /> F H�ov�e$2�OQ,a PioQ[r.�of�omen�mc�e��n�is r�c�uireal. {�!�t�pgea���aer��$75Q0} <br /> I +« q98nt(for the contractor)or Pbwer of A4tomey(for the ovun�er)would be someone with natarized letter from o�wner sutho�iztng same <br /> i}N��'f}��GO�li�Y�@31'l�R�lIITY16�� {Front o#,�pplication Only} � <br /> R�roofs if shingles Sewrers Ssrvice Upgrades A/C Fences(F'IaUSurvey/Footage) <br /> Sirive�rm�-fidat over Counter if on public roadways..needs ROW <br />