Laserfiche WebLink
City ofZeohYrhUlsPermit Application Fax-8 3-780-0O21 <br /> Building Department <br /> Date Received IA dr1k10_A_tn. <br /> Phone Contact for Permitting <br /> Owner's Name nc_ Owner Phone Number <br /> Owner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V-) <br /> SUBDIVISION <br /> QN <br /> (OBTAINED rRom PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL L_J REPAIR <br /> PROPOSED USE �--1 oRa [--| COMM [---1 oTHsR <br /> TYPE OF CONSTRUCTION E-2- BLOCK �-1 FRAME �---� GTEEL F--1 <br /> DESCRIPTION OF WORK F�;V� Srclu_ to:�idgnra_ Z-1J Z--8.jh <br /> BUILDING SIZE SQFOOTAGEI��w HEIGHT <br /> ' <br /> �]�|�� ��\ONOF���N��C�oN <br /> =ELECTR(CAL AMP SERVICE [---1 PROGREG8ENERGY �--1 W.R-E.C. <br /> =PLUMB|NG <br /> =MECHANkCAL VALUATION OF MECHANICAL ON <br /> ` �-�` <br /> [--�oAG L�� ROOFING F-� SPECIALTY OTHER <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> _7�_ <br /> BUILDER nc <br /> SIGNATURE nso/orsneo ^ � FEE cumREN. <br /> Address License# <br /> =-LECTR|C|4m COMPANY <br /> SIGNATURE nsoIuTeneo <br /> Address <br /> ,LUMBER COMPANY <br /> SIGNATURE nsu/msnso Address do) License# <br /> mEcHAm|oAL COMPANY is <br /> 5|owxTuRE nso/STEnso *i�N FEE CURREN V I Y/NAddress <br /> )TnER COMPANY <br /> )|GN/TURE nso�sr��o <br /> FEE CURREN --____- <br /> Addrmss Lioonaa# I cc <br /> lEO\oENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&Idumpater,Site Work Permit for subdivisions/large projects � <br /> 'DMMERCu\ /#�nh(2)complete sets of Building Plans plus a�fa �� <br /> <1)oofEne� _ <br /> Energy- <br /> 4 Permit for�emconstruction. <br /> Minimum ten(1O)working days after submittal date. Required onnte.Construction Plans,Stormwater Planey/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirbments�must meet compliance <br /> UGN9E00\7 Attach sets of Engineered P|�no. <br /> °^°°PROPERTY SURVEY required for ail NEW construction. ' <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$2aon^a Notice qf Commencement isrequired. (AIC upgrades over$75VO) <br /> ^ Agent(for the contractor)m Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing' <br /> same <br /> mER THE COUNTER PERMITTING (copy pfcontract required) <br /> ,emufs if shingles 8emmrs Service Upgrades A/C Fences(P <br /> , <br /> Driveways-Not over Counter Ifon public medvayoonedaROW <br /> � ` <br /> ` ' <br /> . <br /> ' <br />