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~~ '.~~V� �" City Zephyrhii|s Permit Application �»����2OD 1 <br /> Building Department <br /> I ITI-1 I ar ICY-1. <br /> [late Recelved Phone Contact for Permitting Owner's Name ckm Owner Phone Number <br /> � <br /> Owner's Address �"L Owner Phone Number <br /> -FowSimple Titleholder Name Owner Phone Number <br /> BUILDING SIZE SQ"`FOOTAGE���F� HEIGHT <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS E(�_U A T 1:01-P 7P 0 k LOT# <br /> SUBDIVISION F_3 i \jemao PARCEL ID# 5'Z—T5 0 U3 %t) c�4 4� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER F_ <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> ' <br /> =BU|UDING VALUATION DF TOTAL CONSTRUCTION <br /> �--lsLECTRcAL AMP T--� PROGRESS ENERc�' �—� YvR-E.0 <br /> �_� <br /> =pUJMB\NG <br /> =MECHAN|CAL $ VALUATION OF MECHANICAL INSTALLATIONoob <br /> � v ' <br /> S/;Oi 11 <br /> |BAS ROOFING 8P�0�� O��� /xg�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA — YES NO ./ <br /> F�V��o�R CON <br /> SIGNATURE nsa/orexso L����� r��c««��^ L_l LN_J <br /> Address Te I t TA tv,D aUoanao# <br /> ELECTRICIAN <br /> ' COMPANY <br /> SIGNATUREFlt_o� nso/orenso LY/_N_ psEcunnsN L_l7 NL� <br /> Address Lioonoo# <br /> PLUMBER COMPANYSIGNATURESIGNATURE�laN� F REGISTERED LY/_N 'FEsCURRdN LV1�� ~� <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE REGISTERED , L1?/'N_ rEEcunnsx [Z l NL_J <br /> Address ) License# <br /> OTHER ooMpxmY <br /> SIGNATURE REGISTERED LY2N FEsCURnEN LY/N_� <br /> Address Licenno# <br /> RESIDENTIAL 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wt Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large�ojects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus eLife Safety Page;(1)set nf Energy Forms.R,D4w Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(Z)sets oy Engineered Plans. <br /> ^^°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25VU,a Notice pf Commencement isrequired. (AIC upgrades over$75VU) <br /> Agent(for the contractor)nr Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> Rmnofs/fshingles Sewers Service Upgrades A/C Fenceo(P|nVGumoy/FnoiagA <br /> Driveways-Not over Counter ifon public madweys..neadsROW <br /> '. <br /> ' <br />