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813-78DO20 City of Zephyrhilis Permit Application Fox-8113.780-0021 <br /> Building Deparlmon1l <br /> QateRacalvocI4 1-2,/-?'o <br /> Phan*Contact for PormItUna <br /> ................ <br /> C 0 fre <br /> wase;time J0A/vv11r areNy Owner Phone Number <br /> Owner's Address Sw/)/ve 4wo OwnerPhoneNumbo r <br /> Owner Phone Number <br /> WJOBADDRESS KylDIV, 1AA , 7c fhyebIG ?SsI- <br /> T --LOT# <br /> SUBDIVISION PARcfR_IDA F- <br /> WORK PROPOSED NEW CONSTR r_1 ADDIALT SIGNDEMOLISH' <br /> INSTALL L_J REPAIR <br /> PROPOSED USE SFFt r__1 COMM OTHER ---- -- <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL '7�W.PJME��� <br /> DESCRIPTION OF WORK T_t:Me1DeAf_y t4,6).- �71TOCAC-IC <br /> BUILDING SIZE I .2q Ic Piz SO FOOTAGE -HEIGHT <br /> 4gBUILDINP S '41Co ON OPTOTAL CONSTRUCTION <br /> po VALUATI <br /> *ELECTRICAL is AMPSERVICE DUKE ENE�tGy W.R.E.C. <br /> MPLUMBING Nr Cf'& <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F-1 ROOFING f—I SPECIALTY[=� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES <br /> ........... ... ...... <br /> HIIHILHH HHHHH HHHHO MIMI <br /> BUILDER 4/1 COMPANY <br /> SIGNATURE W ► <br /> I YIN FEE CURM: LXL"--J <br /> Address 513o7' v_eeVICW -P)Z,JVPA r-1-V475< <br /> ELECTRICIAN COMPANY T0:061,- A 01&fr)ML <br /> SIGNATURE t/a-lloll -REGMTSM0, I Y/'.N ' FEECURPa A Y/N <br /> Address V 91t Ile,f IZ6 17 7'�/F4 Licenset I r:--,c a, <br /> PLUMBER COMPANY <br /> SIGNATURE SEGISTERED I YI-N Fa CURM <br /> Address Licenso#F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISERM I Y/N M CURFUU, LXLNJ <br /> Addroso F Llsease <br /> OTHER COMPANY r <br /> SIGNATURE I 'Y/,N..- Fee C�URREN- <br /> Address 14CM64.F— <br /> RESIDENTIAL Attach(1)PlotPlins,(i)sets of 86flng'Plans,(1)set of Energy Forms;'R-OV Permit for new construcilon, <br /> .Mifilinurn ton(10)workin4 days aftersubmlital date:Fte4liltidonsllebdnst?ucg6n�Plihs,Siormv�atdePlans'�il Sit Fence instWied, <br /> Sanitary Facilities&,1%dumpsterSita Wdrk Permillor stiladIvislonsnarse projects <br /> COMMERCIAL Attach(2)Complato,sels of8uVdI*ngrPIans,-pIus a Ufo:Safety?ago;(1)set of Energy Forms.R-OV Permit fdr-new construction, <br /> Mln[murh ten(110),warking-idarls,after submittal date.-RequIred-onslite;CcnstruLUan Plans;Storrawater Plani wl Sill Fence Instatiodl, <br /> Sanlla:ry.Eqcq1tI6s&j.d4moste?."Slie'Wbik Permit f6r ill'new projects.All corfimeidil.requlf�emonls must meet compliance <br /> SIGN PERMIT Attach(4 sets cl Engineered Plea' <br /> -PROPERTY SURVEY required for all NEW construction. <br /> Fill out application complatoy. <br /> OwnbF&Contractor sign.back of qppncatLon.noIariza d <br /> Ive f or WOO.a NWI66-ot Cornmortcomant In iiilulriod. (AlCuparadvoovorS7500) <br /> Agent(for the contractor)orPowaroWtomey#or the owner)would be someone with notarized fetter fr=oviner authorizing same <br /> OVER THE COUNTER PERMITTING (cqpy.of contract required) <br /> Reroofs If shingles SewersService Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />