Laserfiche WebLink
`~.~-'""-V"^» City ofZ8phV[h\Us�Permit/\oOliCati Fo»813�80�O21OO <br /> Building Department <br /> Date Received <br /> F Phone Contact for Permitting <br /> Owner's Name nC Owner Phcne Number 9(0 <br /> ff X�6 <br /> TIACMM <br /> Owner Phone Number <br /> Fee <br /> 'Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS mma'A qemwb ave FC 73v o LOT# 1��du I <br /> SUBDIVISION k izo�. _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F*­] ADD/ALT SIGN DEMOLISH <br /> If' INSTALL F I REPAIR <br /> PROPOSED USE SFR COMM OTHER F_ <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK F �;V� �;'rq <br /> BUILDING SIZE S\JQ FOOTAGE W�_14+HEIGHT <br /> =BUILoNG VALUATION OF TOTAL CONSTRUCTION <br /> —__— <br /> ��EBCTRIQ& AMP SERVICE PROGRESSENBRGY W.R.E� <br /> =pLUM8|NG <br /> [--��ECHANk�� <br /> LLATION <br /> �_� . <br /> �—�GAS ��l ROOFING [—� � GPEC�LTY [---� OTHER <br /> ___ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__1YES NO <br /> BUILDER COMPANY nc <br /> SIGNATURE REGISTERED ~EEu"^R=" / I <br /> Address License# <br /> =_LEoT0C\AN c000p*mr <br /> SIGNATURE nEaIarsnso W 'I psEcunxE^ I _LN_� <br /> Address ucunsa# <br /> �LUMBER COMPANY <br /> 3/oNATURE nsa/STEmso LY N_ pEscunws^ Ll_LN_j <br /> Address License# <br /> wEoHAN|CAL COMPANY <br /> �)oNATuRE REGISTERED ` LYLN p�sCUnmsx» LY/N I <br /> Address <br /> JTHER coMpAm, <br /> ;|oNATURE REGISTERED LY/ N FEEcuRRE^ LY/NL� <br /> A ddress License# I cc <br /> ZES\DENT|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(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> :oK0MERCLuL Attach pV complete sets cf Building Plans plus a Life Safety Page;(1)set of Energy Forms,R,�4wPennit for new Construction. <br /> Minimum ten(1O)working days after submittal date. Required oneiha.Construction Plans,Stormvater Plans v/�iKFence\no�\\ed. <br /> Sanitary Fa�|iUaa81dumpote�Site VYnrkPenn�for all new pn4o�s./A\commen�o(nequiobmo�omust meet oomp|ianco <br /> xGNPE8M|T Attach(2)sets nf Engineered Plans. <br /> ^^°°PROPERTY SURVEY required for all NEW construction. - <br /> Fill out application completely. <br /> Owner&Contractor sign back nfepp|icatinn.notshzod <br /> If over$cano,a Notice ox Commencement isrequired. (A/C upgrades over$750V) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same ^� <br /> YVERTHE COUNTER PERMITTING (copy of contract required) <br /> lomds If shingles Sewers Service Upgrades A/C Fononn(plot/Gumey/Footago) ' <br /> Driveways-Not over Counter ifonpublic roadways..needsgOYY ' ` <br /> � <br /> - <br /> ' <br />