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UityOfZeDhVyh\(lS Permit Application Fo»83-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name inc- Owner Phone Number <br /> 3�S Owner Phone Number <br /> Owner's Address !�MM 1_� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> - <br /> aUBom1ox]N IDw <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewnomsrn ADD0\LT �--1 a|Gm F--| �—� DEMOLISHE] INSTALL E REPAIR <br /> PROPOSED USE �—� SFR �—1 Comm [---1 oTHER <br /> TYPE OF CONSTRUCTION E:2— BLOC FRAME �—lSTEELBUILDINGSIZE SQ FOOTAGE HEIGHT <br /> ' <br /> F--lELECTR|C�L �Np8ERV|�E [--1 P�3�RE38�NERGY F--1 VV.FlE.C. <br /> ___ <br /> =PLUMa|NG <br /> �—��ECHAN|�AL MECHANICAL--- ' <br /> =GA8 ROOFING F—� � SPECkALTYF---1 OTHER <br /> FINISHED FLOOR ELEVATIONS —7FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 5 <br /> SIGNATURE nso/orsnso L_l/ NL� p��uu�:�^ L_���_J <br /> Address License# <br /> ELECTRICIAN coMpamv <br /> SIGNATURE nso/areneo LY _N_J pssounnsx LY/N_1 <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REa/aTEnso Y/ N I FEEtumRtx LILN__j <br /> xddmow License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ` �Y/'N FLcunREN» LY/N� . <br /> 4dumas License# <br /> OTHER COMPANY <br /> SIGNATURE nso/orsnso LYl N Fssuumss^ LZ� <br /> AddressLiunnso# FCC <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(iO)working days after submittal date. Required uno\he.Construction Plans,Stormvwater Plans v/Silt Fence installed, <br /> Sanitary Paci|iUas&1 dumpshar;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfauh(2)complete sets nf Building Plans plus aLife (1)set nfEnergy'Fvrme.R,6-YV Permit for new oonatruo8nn. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/�Ilt Fence installed, <br /> Sanitary Facilities&1dumpoher.Site Work Permitfor all new projects.All commercial requirements�must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered P|bno, <br /> "=PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> If over$25oo'a Notice pf Commencement isrequired. (AJC upgrades over$T5VU) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from''ow' n6r authorizingsame <br /> OVER THE COUNTER PERMITTING (copy of contract required) � <br /> Remnfs if shingles Sewers Service Upgrades A/C Fences(PlottSumay/Footage) <br /> Driveways-Not over Counter ifnn public madwaye..noadoROW <br />