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.=1""°v4v City of Zenhvrh(\h6 Permit/\npU ���������t�n <br /> Building DepartmentDate Receivbd Phone Contact for Permittin <br /> :1 9 <br /> Owner's Name nc— Owner Phone Number <br /> Owner's Address 3S Owner Phone NumberL F <br /> Fee Simple Titleholder Name �3.awv t Owner Phone Number <br /> Fee Simple Titleholder Address' <br /> JOB ADDRESS LOT# <br /> SUBDIVISION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> Ef INSTALL F REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING ' <br /> "BUILDING VALUATION OFTOTAL <br /> =ELECTR|CAL ` AMP SERVICE �---1 PR3GREG8ENER8Y F--1 VY.R-E.C. <br /> F--lpLUMB|N3 <br /> �--l��CHAN|�AL MECHANICAL INSTALLATION <br /> �_� . <br /> �--lGAG ROOFING �—� SPECIALTY OTHER <br /> CTHER <br /> FINISHED FLOOR ELEVATIONS az� p -7FLOOD ZONE AREA =YES NO <br /> BUILDER �o�P�0Y <br /> S|oNATu�� mso/orsnso L��_�_� rEEu»««E^ L_Y/N_� <br /> Address License# <br /> =-uEoTR|C!Am cuMp*m, <br /> 3|oNATVRE REGISTERED Ll1 N rsEcunREx Ll/114 1 <br /> Address License# <br /> DLUMoER COMPANY <br /> a|mNATURe o nEounsnEo FeE13UnnEN L_22NL� <br /> mjurusa Lioenso# <br /> ms�HAN\C�L noxxPAmr <br /> 3|mNATUR� neo�arseeo ` LV�_N_ I �EcunnENw <br /> Address License# <br /> JTHER COMPANY <br /> 77 amNATU�� nsmensnso LY/_Nl pssoum�x L_Y/N_] <br /> Addmss License# I cc <br /> x x m o x x x u m x x x n m m x o u u x x x x u`m x u x u 1pu x x x n u � u x x u u m m n x x m u x n u m m x x n u x n n x u m u x n <br /> ZESlDENTbA- 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)wmrkingdays after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence-installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects .._� <br /> 'OMMERC|AL A�onh(2)complete o�onf Building Plans plus aLde8a��Page;(1)set ofEno�yFnnnn.R'64m Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required ona)Ua.Construction Plans,S\onnwater Plans yl Slit Fence installed, <br /> Gan\toryFao|\bnu&1dumpster.S}heYVorkPormitforal\nmxpn4eds./A|oommamialraqu\n/meNgmuatmaetcomp|ionoe <br /> UGNPE8M[T Attach(2)sets of Engineered Plans. <br /> °°°°pRDPEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> If over$2aou^a Notice nf Commencement isrequired. (A/C upgrades over*75Vo) <br /> ^ Agent(for the contractor)or Power nfAttome�(for the owner)would be someone With notarized letter from owner authorizing neme� <br /> x/ RTH (copy of contract required) <br /> mm"^ ies Sewers Service Upgrades A/C Foncem(P|ot/Sumey/Footago) % � <br /> Not over <br /> Counter ifon public madwoys..needeROW <br /> ' <br />