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City OfZephV[hiUS Permit 4opUcatiOO Fax-88-780-002 <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner'Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> Date Received dr�lor�m-com <br /> SUBDIVISION on�- <br /> (OBTAINED FROM PROPERtY TAX NOT16E) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK F v;w Z,P-i&,r, z- <br /> 4 7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT"BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =pLUMB|NG ' <br /> ' <br /> =MECHANkCAL . Coo VALUATION OF MECHANICAL ON . <br /> =Gm; F�—| ROOFING SPECIALTY � ] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEa NO <br /> COMPANY <br /> BUILDER FEE CURREN Y/N <br /> :,LUMBER COMPANY <br /> BGN»JURE nezIorenso L_l/ cuxm=^ L_ILN__J <br /> *ddmno Licnnmo#, <br /> VIEoH�v\oN- compxm, <br /> aGNxTVRE nse/orEnEo ` L_YlVN I rsEnunnexv L �_� N_J <br /> Address License# <br /> }THER cuMpmx, <br /> 3IGNAJURE nso|ensnEo L_����_J reeoumRc^ L_YIN _J <br /> Address Licenoa# <br /> lEoU]ENT\AL 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,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsilarge projects � <br /> 'OMMERCuL 'AUaoh(2)complete n�snfB�Ning Plans plus a� � �_ 4m <br /> fo� ��yPage�(1)sotofEnangy�� ��.R,� Ponn��xnewoonahouVon. <br /> Minimum ten(1O)working days after submittal date. Required one\0e.Construction Plans,Stormwater Plans y/GIlt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must me at compliance <br /> }iG0PERM|T Attach(2)sets of Engineered Plans. <br /> °°"PRJPERTY SURVEY required for all NEW construction. ' <br /> Fi|!out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> n over$26uu'amotir&pf Commencement iarequired. (/Vo upgrades over$7sVo) <br /> ^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing Same <br /> x/ERT8E COUNTER PERMITTING (copy of contract required) <br /> mmnfs if shingles Sewers Service Upgrades A/C Fences <br /> Driveways-Not over Counter ifon public madwaynoeadoROW <br /> ' <br /> '- - <br /> . <br /> ' <br />