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a�aaeo-oozo City of Zephyrhifls Permft Appfication Fex-e��-�saoozi <br /> , Bwlding Depahment <br /> DaWR�celvod �� ��( �'Z„�(,�'j PhoneCoMaettorParmlltln 727 � 37'—�L G� <br /> Owner'n Nams G �� i7 85 awner Phonc Number � b�5 ^ �• <br /> owner's Address ! l 3 p �V� Owner Phone Numbor <br /> Feo Slmpl�Tltleholdor Name �— Owner Phone Nwnber <br /> Feo Simpl�Tklsholdar Addrosa <br /> JOB ADDRESS �� l7rCtJ"•� �U G� LOT R ��'�� <br /> SUBDIVISION PARCELlD�Y 5�� �.L> R� s,a� [7i� 0 R�t(7V��QLerdV(ty <br /> (OBTAINED FROY PROPETI7Y TAX NOTIGE) <br /> WORKPROPOSED � e NEwCON5tfi8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPA�R <br /> PROPOSED U9E Q SFR � COMM Q OTHER <br /> TYPE OF CON9TRUCTIOH Q BLOCK ' Q FRAME C_] STEEI Q <br /> DESCii1PTION OF WORK l'��'t �,��y'Nl ��S'Iti�D-� 8� ..�p � <br /> BUILDING SIZE SQ FOOTAOE�� HEIGHT <br /> OBUILDING �� �-y ��b� VALUATIaN�FTOTAI.CONSTRUCTION ' <br /> ( <br /> QELECTRICAL �a AMP SERVICE [� PROGRESS ENEROY Q W.R.E.C. <br /> QPLUMB�NG $ ��/��l <br /> i ��,�,� � <br /> [�MECHANICAL 5 VAWATION OF MECHANICAL INSTALLATION '• ' <br /> S'!y�,� '���y�C <br /> 4{,'. <br /> �� Q ROOFlNG Q SPECIALTY C] OTHER 2l��,�� <br /> FINISHED FLOOR Ei.EVAT10N5 �� FLOOD ZONE AREA QYES NO Clµ3�' <br /> � S <br /> Bl1tL0ER � ,�}��J��OOMPANY f �Y)Yl`j'�J'l��t Bv� S2llVc,?3_ <br /> 91GNATURE � b REGISTERED /N F�cuRpo, Y/N - <br /> Address <br /> `._..:---... .. - - � license# �G--(��.5.Z S��S <br /> � ELECTRICIAN �� COMPANY <br /> SIGNA7URE � ��� qEGls�teD Y! N_ F�cuttnet, ' Y/N <br /> `-____.-��� - - Wcense# <br /> 3l6NATURE r ���U,'?�CORiPANY u..� �S� ll1Y���� , <br /> FtEGISTEFiED Y/N "FEE CURR6P- -Y!N � <br /> a�a�eo Pb60`� , t..i-F-4iia Ft�;335 � u�a# CF��(�SLe g <br /> � ti`' <br /> MECFIANICAI. � COMPANY <br /> S(GNATURE REctsTEnen Y/N, F�ctraq�. Y/N <br /> Address <br /> Uoense# <br /> OTHER COMPANY <br /> St�NATLRE _ REGISTERED ',Y/N. FEE WRREI. ' Y/N <br /> Address <br /> llcense#� <br /> RESIDENTIAL Att2ch(2)ptpt Plans;(2)se}s of Bullding Alana;ji)set of Enmgy Fdrms;R-O-W Perinit tor new wnstiucUon, <br /> Mlnimuin lan(10)worlcing days a$er submittal dete.Requlred onsite,ConsWallon p�ens,Stbrtmrater Plans w!Silt Fence Installed. <br /> Senitary Facllitles&1 dumpsier,Site Work Permlt far subdlWslonsRatge pto)ects <br /> COMMERCIAL /ltfach(3)oomptate seffi af Buildinp Plam plus a Llfe Sefety Page;(1)seCo}Energy Fotms.R-O-W Pam�N for new construction, <br /> Mitlimuth ten{10)working day5 after submltlal�date. Raquired onsite,ConSWcUon Ptans,Stormwater Wans wl Silt Fence instelie0, <br /> Senitary Fec3fltles&1 dumpster.Slte Work Permit tor all new projeds.M commerciel requlrements must meet compllance <br /> ,SIGN PERMIT Attaeh{2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY requ'ired for ap NEW oonstructlon. <br /> DlrecUona: , <br /> FlII oul appliraUon completety. <br /> Ownor a Contrectnr elgn Gadc ol eppllWtlOn,n0[8f128tl <br /> If ovnr 52500,a Notico of Cemmaneoment ib requlred. (AfC upprades ovor.S�5ao) <br /> '" Agenl(for the eoniractor)o�Power of Attomey(for the owne�)wouki be someone wtth ootanze0 letterfrom awner auNortzing Same <br /> �VER THE COUNTER PERMIT'fINO (Front o!APPtiratbn Oniy) <br /> Reroois It chinalos �Sewnrs Servico Upgrades A/C Fencas(PIaVSurvey/FpotBgg) <br /> Drfvoways=Not over Counter it on publlc roedways..rreads ROW <br /> i � <br />