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-- .~..~-. uttyOfZeohVrhU\8 Permit/\opUC8ti F������O� <br /> Building DepartmentPhone Contact for Permitting <br /> Owner Phone Numb o <br /> Owner's Address �/�� <br /> Owner Phone Number <br /> -Feu Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBDIVISION P/uxCELID# <br /> `--'-NED <br /> FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COwon ADD/ALT SIGN DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE [--1 � aFR COMM [---� QTHER <br /> TYPE OFCONSTRUCTION BLOCK �—1 FRAME F---� GTEELBUILDING SIZE SQ FOOTAGEJ��l �c(lff HEIGHT <br /> �--1 <br /> ' <br /> VALUATION OF TOTAL CONSTRUCT <br /> goo <br /> =PLUMB|NG <br /> =MECM/QNICAL MECHANICAL INSTALLATION <br /> �—��AG �-�� ROOFING F-7 � SPECIALTY OTHER <br /> OTHER <br /> ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--lYES NO <br /> . . . . . . .. its . . . . . . . . . . . . . . . wilwouffy . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BuILoER COMPANY <br /> a|om/nUus nso/arEnEo LY2 N FEec»RRe^ LY2ZN � <br /> Address Liomnae# <br /> ELECTRICIANF COMPANY <br /> SIGNATURE REGISTERED ' FEffobRnsN <br /> Address Linanse# <br /> ^ - <br /> PLVIVIBER COMPANY <br /> SIGNATURE Rco/urenEo [_y/_N { 'rssouRR�gx Y/N!_] <br /> Address <br /> MECHANICAL COMPANY 'O.JeL <br /> SIGNATURE L, REGISTERED ' psEoumREu <br /> Address Licanoe# co 33 <br /> orMEQ COMPANY <br /> SIGNATURE nsa/arsmeo pEscunREx ' <br /> �:] <br /> Address Uoanoo# <br /> IIIIIIII IIIIII III m m u x u x11 m x x x VI m u III III n x V III III III III if x III III III x n <br /> RESIDENTIAL Attach(2)Plot Plans;;g sets uf Building Plans;(1)set nf Energy Forms;R-O4m Permit for new construction, <br /> Minimum ten M0>working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects ' <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new 'construction. <br /> Minimum ten(1D)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Kans. <br /> ""PROpERTY SURVEY required for ail NEW construction. ' <br /> Directions: - <br /> Fill out application completely. ' <br /> Owner&Contractor sign back of application,notarized <br /> n over$uaou,allotice of Commencement isrequired. VwC upgrades over$75uo> <br /> � Agent(for the contractor)or Power of/Ntorno�(for the owner)would bo someone with notarized letter from owner au8mhzin same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Romcfsifshingles Sewers Service Upgrades A/C Panoea <br /> Driveways-Not over Counter ifnn public maUvaye.needs ROW <br /> . <br /> ' <br /> ' <br />