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City ofZephV[hi\\s Permit/\opi(Cati Fa»81n�VO�O21�O , <br /> Building Department <br /> Phone Con tact for Permittin <br /> Date Received 9 <br /> Owner's Name X�-Z I n C Owner Phone Number <br /> Owner'sAddressl luoi' 7�f�CMM Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBDIVISION r i;F*4ARCELID# (OBTAINIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NiEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E INSTALL L__J REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK R-0;:ji&Pciz_ 2--13 a 4) 7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �—�ELECTFVCAL AMP F---1 pROBRE8OENEREY |�\ VYJ�E.(� <br /> �_� <br /> [---lPLUM8UNG <br /> =MECHANICAL VALUATION OF MECHANICAL|NGTALLfT\ON <br /> =g/VS F�r� ROOFING |�| � SPECIALTY \ | OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG NO <br /> BUILDER COMPANY <br /> SIGNATURE nso/arseso L4:�� <br /> 'E=^°=`=" ��� <br /> Address License* <br /> =-LEoTmCIAN cump*m, <br /> SIGNATURE nsG/orsnso L��_� | rctouxRE^ � <br /> Address License <br /> :LUMaEQ COMPANY <br /> 3}aNATURE Rseunsxso L_l N rescunns^ L_I /��� <br /> Address Licnnoe# <br /> mEoHANICxL comPAmr <br /> 5|amATDRE nEGmrsnso ` L`04/'N_ FEE oonnexw I I N _J . <br /> Address License# <br /> �rx�� compxm, <br /> yGNATURE aeo/Sxsmso LY/_N_J FEsounns^ L_l/NL_| <br /> xudnass <br /> III x x x u'x x n o u o'n n o x u u 11 x u u x x u o u u n u u u u u u x x 11 x 11 u x x o 11 <br /> lES|DENTbAL Attach(2)Plot Plans;;D sets of Building Plans;(1)set of Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fmci|itios&1dumpater;Site Work Permit for subdivisions/large projects __� <br /> :OMK8ERC|&L A1�chpqoomp\�ea�sofB�\d\ng Plans plus aUfeSo��Page;(1)set of Energy F��s.R-[-VV Permit for new construction. <br /> M\rtimum ten(1O)working days after submittal date. Required ona\\o.Construction Plans,Shonnwater Plans y/Silt Fence Installed, <br /> Sanitary Fac\§eo&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> UGNPERM|T Attach(2)sets uf Engineered Plans. <br /> **°°PRoPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> n over$2sVV,a Notice of Commencement isrequired. (A/C upgrades over$?5OD) <br /> ^ Agent(fortheoontractor)orPowmrnfAttohnsy(fhrthaowner)wmu\dbeoumeonewithnotahzod|eMurfrnmowmorauthorizin moma <br /> u/E8THE COUNTER PERMITTING (copy of contract required) <br /> 'emofs if shingles Sewers Service Upgrades A/C Fences .. � . <br /> Driveways-Not over Counter ifnn public modwoys000dsROW ' <br /> ' <br />