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`813-78ta2o City of Zephyrhi#ts Pemnit Application Fax-sly-7so•oazl <br /> . Building Department <br /> Date Received ::]'Phone Contact for pennitima ft 7613 8"a _ j_S+ <br /> 1 / <br /> Ownm'a Name 1 tl r� Owner Phone Number �' <br /> ��i <br /> 7?M5_ <br /> Owner'$Address � �.3 �.I•e Owner.Phone Number 1 <br /> �� # } <br /> Zvi r���� r-------� Owner Phone Number 4 l <br /> .kos ADDRESS 3 �`' �� L �s`�'a- L�T# <br /> SUBDIVISION PARCEL IDO '�3 I'�4)d_001 06-- ,6 0 <br /> (08=1110 FRW PROPERTYTAII ROTtcE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT �, SIGN p p. DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 13LOCK Q FRAME STEEL Q C <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ .- . <br /> Q � iy VALUATION OF TOTAL CONSTf2uCT16N ; <br /> MELECTRICAL IS AMP.SERVICE p DUKEENERGY p W.R.E.C. <br /> pPLUMBINti ``01 <br /> L <br /> C,JMECHANICAL $ VALUATION.OF MECHANICAL INSTALLATION <br /> pGAS p ROOFING SPECIALTY = . OTHER <br /> FINISHEWFLOOR ELEVATIONS FLOOD._ZONE AREA QYE$ NO <br /> If A <br /> BUILOEft:;:.' COMPANY <br /> SIGNATURE RmSTEWD I Y/ N I W CURM fY/N <br /> Address License# (R' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 4;1 <br /> E6aStEREDI YINJ SEE CUR'REn'' Y/ <br /> Address License# 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REt3ISTERED Y/ N FEE CurtM Y 1 N <br /> Address License# � - I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CUR'Rh+ <br /> ens "E t Y!N <br /> Address Lice# i( <br /> OTHER COMPANY <br /> SIGNATURE fWGISTERED I Y! N FLEE CURREn #Y!N <br /> Address �J `/ e r k - ' 3��d- Ucense# �Ci- t 3 31`?6 S <br /> RESIDENTIAL Attach(2}Pioi Plarhsi(2)seta of 8utldtng lrlans:.(1)set of Energir Fan» ft-0-W Pen»lt for new corisbudi <br /> intirsiirn ten(10)wading days after submittal data. Required onwte;'Construation Plans,Stormwater Pla�s w/Silt Fence.instaded, <br /> SanlMry Fadiides&i durhoster:Site Work Permit for subdlvislonsltarge projects <br /> COMMERCIAL Attach(2)oomplete sets of Building Plans pica a Ufa.Safety Page.(1)set of Energy Forms,R-O-W Perm'for new construction. <br /> Minimum ten(10)working days after.submittatdate. Required onsite,.Constntcdon,Plans,.Stwmwater Plats w/Silt Fence Installed, <br /> SaNtary FacIfides.A 1 dumpster.Site.Work Pwmlt,for ail now,projects.Ali commercial requirements must meet Compliance. <br /> SIGN PERMIT Attach(2)sets 4)f F.ngtneered Plans. <br /> *"PROPERTY-SURVEY required for all NEW construction. <br /> ---------------- <br /> Directions: " I <br /> Fill out appitoadon oompletely. <br /> Owner$Contractor son back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$711(14) <br /> 9 <br /> Agent(far the contractor)or Powerof Attorney(for the owner)would be someone-with notarized letter from ownerau"W"o some <br /> OVER THE COUNTER PERMITTING (copy of Contract required) 1 <br /> Remofa if shingles Sewers Service Upgrades:A/C Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Counter If an public roadways..needs ROW <br />