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g13 geao4zo City of ZephyrhilfS Permit Application Fax$���tuzi <br /> Building Department <br /> ~ DeteReceived ,: FkonaCnrnaCttorPermiWng r—' awls s <br /> Ow tat's Name i►--!._. Owner Phone Number _ k: <br /> 7771 <br /> Owner's Address flrrrnar Phone NumberFoe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tittohotder Address <br /> ( -� <br /> JOB ADDRESS LOT# -+ `✓ <br /> SUBDMSION PARCEL.too <br /> (08TA9150 FROM PROPERTYTNI NOTIOEI <br /> WORK PROPOSED NEWCONSTRR ADOfALT SIGN M DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK n FRAME �STEEL <br /> DESCRIPTION OF WORK <br /> 8U1L0)Nt3$jyE ,� � SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROORES3 ENERGY = W.R.S.0 <br /> v 1 USING Ss © r •, .`.t t� �a k\yf� f ,Q <br /> =MECHANICAL 1$�•4•✓ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA AYES NO <br /> - - -- - - - - -- -- - <br /> BUILDER, COMPANY <br /> SIGNATURE REGISTERED N FEECt RRM Y 1 N r <br /> Address License#i <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REOIs'rEMI) YIN I FEECiAtitPt I Y/N <br /> Address C� 1 Ucrose# 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEECURM t YIN 1 � <br /> Addle t)' <br /> MECHANICAL COMPANY <br /> E <br /> SIGNATURE REGISTERED YIN I FMCURIM LV&J :s <br /> t, <br /> Address titrplSe# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y( /N FEECtAtM Ly N <br /> Address License#1 i <br /> 1111.1111'IIt11111t11t1111ililitllllllllllttlllllllliitllllllllllltll <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets a4 Building Plana(i)act of Energy Fomrs:R O-Vst permit for nawCanatntCtion, <br /> Minimum ten(10)working days alter submittal date. Require!onsite,Construction Plana,Stonnwater Plans w/Silt Fence installed, + <br /> Sanitary Facilities£,1 dumpster:Site Wodc Parmit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete ads of Building Plana plus a Life Solely Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Mirimum ten(10)working days after submittal data. Required otaite.Construction Plena,Stormwater Plans w/SO Fence Installed, r, <br /> SeNtaty Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Plans. <br /> *-9ROPERTY SURVEY required forall NEW oonetructlon. <br /> Directions: h, <br /> Fin out application completely. <br /> Owner_&Contractor alga back of application,notarized <br /> waver$2690,a Notice of Commoncomorn to requrrod. (AfC upgrades over$T600) <br /> Agent(for the coalmutoO w Pamrer of AMomey W the dame)would to Eorseona WIM notanzea fetter from ltvmarauthonaing same y. <br /> OVER THE COUNTERPERMITTINL? (wpy of contract mulmd) <br /> Remofa if,shingiss, Sewers SeMee Upgrades A/C Fences(PioVSurvsy/Footage) <br /> Drlvetaaya•Nat over Counter it on public roadways.needs ROW <br />