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City of Zephyrhilis Permit Application Fox-613-780-0021 <br /> Building Department <br /> DntsRacelved rM <br /> Phone Contact for PormittIn 4 P <br /> N a W <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address, <br /> 11 L n <br /> JOSADDRESS <br /> S e SUBDIVISION rr,C1C 5 PARCEL IDNJ <br /> (40STAMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> El INSTALL Lj REPAIR <br /> PROPOSED USE SFR Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRJPTioN OF WORK <br /> BUILDING SIZE [ <br /> I SQ FOOTAGE I HEIGHT F <br /> . . . . . . . . . . . . . . . .. . . . . . <br /> �BU <br /> ILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> [„ELECTRICALIs AMP SERVICE 7-1 PROGREsseNERGY Q w.R.B.c. <br /> �PLUIMSING kbb �7 <br /> [MECHANICAL .18 VALUATION OF MECHANICAL INSTALLATION 6 <br /> =GAS M ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE I YIN FEE CURW <br /> Addmn6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED. YIN I FEE CURREN <br /> Addwez License*= <br /> PLUMBER COMPANY PC86 <br /> WGNA*rURE REGISIMFIED�t N Pat CUMMN I Y/N I <br /> Address Q•h"in*Tbt-%='ej, Ucenseo <br /> MECHANICAL COMPANY <br /> MGNATURE -REGISTERED I ;Yi N FER CURM <br /> Address License# F- <br /> OTHER COMPANY L.XL�N�j <br /> SIGNATURE REGISTEREDI YIN FEE CURRE I, <br /> Address License <br /> 1211111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,SlormwaterPianewl Slit Fence Installed, <br /> Safflhrry Facilitles&I dumpster.Site Work Permit for subdivision-Marge,pipiscla <br /> COMMERCIAL Attach(2)complete vatsol'Sullding Plans plus a Life Sorely Pagen,(1)set of EnergyForms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date, Required onelta,Construction Plane,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects,Ali Commercial requirements must meet compifspice <br /> SIGN PERMIT Attach(2)sots of Engineered Plans. <br /> "*PROPERTY SURVEY required for oil NEW construction, <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of commencement is required. (A(Cupgrad000vor$7600) <br /> Agent(for the*01--cwt)Or P0Wzr Of Attorney(for the OW1180 Would be Someone with notarized letter from omer authorWrig same <br /> OVER 7116 COUMR PERfffIl7rING (copy of cmirect required) <br /> 'Rercob-11'shingles .Sewars Service Upgrades AIC Fences(PlottSurvey/Footage) <br /> Ork,away"ot over Counter U on public roadways-needs ROW <br />