Laserfiche WebLink
Y n <br /> s��Esc gozo City of Zephyrhilts Permit Application Fa�t�j Sao 2t <br /> Budd ng Department <br /> i <br /> Date Received ` <br /> Phone Contact for Permitting JCI •`- � <br /> Ovmer�s Name Owner Phone Number <br /> Ownces Address Owner Phone Number <br /> Poo Simpie Titiehotdar Name Ot+m"Phone <br /> Pee Simple Titleholder Address <br /> I <br /> JOEIADOR£SS CJ 1 IOTA =e> <br /> Y , <br /> SUBDIVISION { r� PARCEL i0>t <br /> e r IOSTAI1E1)FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ! ® NEW CONSTR®. AMALT L,J SIGN [M Q D£MOUSK <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q rn*,u <br /> TYPE OF CONSTRU( ION Q BLOCK ❑ FRAME [� STEEL p C <br /> DOSCRiPTION OF WORK <br /> BUILDING SiZE SO FOOTAGE HE'lGHT <br /> QBUILOING VALUATION Cc TOTAL CONSTRUCTION <br /> AMP SERVICE Q PROGRESSENEFGY i0 WW..R.E.C. <br /> ,i PLUMBING <br /> =M£CHANC:AL is i_ VALUATON OF IIECHAARCAL iNSTAL LA'nON /J <br /> =GAS 4 Q ROOFING Q SPEGAi TY Q OTFrzR <br /> FINISHED FLOOR ELE`lATIONS FLOOD ZONE AREA =YES 10 (( <br /> BUILDER a COMPANY <br /> i <br /> SIGNATURE r REGISTERED Y/N FEE CU�R'RRE"N� N <br /> Address r License#1 ! <br /> ELECTRICIAN COMPANY t <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y!N <br /> Address License# � <br /> PLUMBER COMPANY ? cfCA <br /> tC.tX�3.rCAf�.wQrr`ry <br /> SIGNATURE t ttta3SYEAED Tr `r FEECURREN— Y/N� � <br /> Address License# eJ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y)N FEE CURREN <br /> Addwss License#I 1 <br /> OTHER }1( � COMPANY <br /> SIGNATURE t REGUTMEO I YIN FEECURRENT I Y!N'--'�'"—"—'" <br /> Address 1. License � I <br /> 11lIt ! l11t1 / Ill ! ! !! ! 1lt1! ! I / ttt ! ltttlltttlttittttttttittltttitttltt <br /> HfislUENT1AL AttaCt(;(1)Plot Flans;tL)Sets or building Plans;(1)Set Of energy POMIS,R-t?-Vv vemon for now eonstrucuon, <br /> Winimllm ten(10)vloridng days after submittal date- Recuired onsite,Construction Plans,Stormwrater Plans W Silt Fence installed, <br /> Sanitary Facilities S 1 dumpstor,Site Work Permit for subditdslonsnarge projects <br /> COMMERCIAL Attaeh;;(2)complete sets of Building Plans plus a Ldo Safety Page;(1)set of Energy Forms R.O.W Permit for now construction. <br /> Minimum ten 00)working days after submittal data. Required onBRe,Constructon Plans,StortnWater Plans w/Silt fence Installed, <br /> Santa{y Facilities 2 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meat compliance <br /> SIGN PERMIT Attacht(2)sets of Engineered Plans. <br /> ' PROPERTY SURVEY required for all NEW construction. <br /> - <br /> D1teeUon-.: <br /> Nat 0vt Mm9caucr: <br /> Ownore,Commewisign backofapplration,tiatanaed <br /> R aver$2000,a Ra9ce of Commsncam of Is required. (AfC upgrades ovar S7$00) <br /> Agent{Sot the contractor)or Power o!AUDMey(forme owner)would be someone with notarized letter from owner authori2ing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remots if shingles SSitlam Samoa Upgrades AFC Fences(PloVSurveytFootage) <br /> Driveways-Nat ovor Counter 0 on public roadways-needs ROW <br /> i <br /> i, <br /> t <br />