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city OfZenhyrh\l\8 Permit Application Fax-8 8-78O-0021 <br /> ^ , Building Department <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address le co no. 1K_.,_T_a-n&. 3�L Owner Phone Number <br /> 'Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SUBDIVISION PARCEL ID#F_3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> JOB ADDRESS ILOT# <br /> [--�BD|L0Ng <br /> �--� VALUATION OFTOTAL CONSTRUCTION=ELEOTRICAL AMP SERVICE �—1 PRVGRESSENERGY miR.s.C. <br /> =pLUMBUNG <br /> =MECHANICA VALUATION OF MECHANICAL INSTALLATION <br /> �--� ���'8AG R�QBMn �-� � �PE0�[[� F---1 OTHBR <br /> �_� �_z <br /> FINISHED FLOOR ELEVATIONS I q()7FLOOD ZONE AREA =YEG NO " <br /> BUILDER COMPANY <br /> SIGNATURE nEG/arsnso psI�CURne�� <br /> Add,ess Uoonan# <br /> ` ELECTRICIAN COMPANY <br /> SIGNATURE nEo/oTsnso Y I N i ^ FEE CORnEN-L <br /> Address 3± jbhlas License# <br /> PLUMBER <br /> SIGNATURE <br /> Auummn <br /> MECHANICAL COMPANY Pr0qtvis'1Q-e LEE <br /> SIGNATURE <br /> Address Ummae# <br /> OTHER COMPANY <br /> SIGNATURE <br /> FEE CURREIN ____' <br /> Address Unonua# <br /> nnuonxxuumu � xxu � mxoVx � �^oxoxV �� xnV � xxnuVmxx0UK � xuuvmmoxmn � xnxmmUxo8m <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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsher;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(1O)working days after submittal date. Required onoKn.Construction Plans,G\onnvwaer Plans v/Silt Fence installed, <br /> Sanitary Facilities&1dumdoter.Site Work Permit for all new p' oots./Alcommoncia|requinemontsmuatmnetoump|ianco <br /> SIGN PERMIT Attach(2)sets of Engineered piBns. <br /> °=°PR0PERrY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> |f over*oaoo'a Notice p,Commencement isrequired. (/VG upgrades over$75on) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letterfrom owner authorizing'same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remufsifshingles Sewers Service Upgrades A/C Fenmao(P|oUSumey/Fno(oge) , ^ <br /> Driveways-Not over Counter ifnn public modoayn,noedsROW <br /> '. . <br /> ~~ <br /> ��& ' <br />