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City of ZeohYrhi\la Permit Ano\\catVO Fax-u 3-7OU-0O21 <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> QC <br /> Fee Simple Titleholder Name `�_rl Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED wowcomsTn Aoo�1]' �---� a|GN F--1 [--� DEMOLISH <br /> \NSTALL R <br /> REPAIR <br /> PROPOSED USE |�—\ ' GFR �—| COMM �--1 OTHER <br /> TYPE OF CONSTRUCTIONF��Y BLOCK F—� FRAME �--� STEEL [--� <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> ' <br /> =BU|LDING VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRCAL AMP SERVICE F--1 PROGRESS [--\ YY.R.E.C. <br /> r--lPLUMa\NG <br /> �ECHANk�� O - ego <br /> �--1 <br /> | |G/�� [—�� FX�0��� �—| SPECIALTY OTHER[---� <br /> � __- --__- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA | |YEG NO <br /> ou|LoER COMPANY <br /> SIGNATURE nssIsnsneo rst CURns� <br /> Address Uoonsa# <br /> ELECTRICIAN 01 <br /> COMPANY <br /> S|GNATUBE REGISTERED ^ FE—Eo)nnsN I Y7 N <br /> Address 13100 3± j6hin S QU I Licunuo# <br /> PLUMBER <br /> SIGNATURE /ps <br /> Address <br /> MECHANICAL <br /> SIGNATURE <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE ����__J <br /> Address License# <br /> RESIDENTIAL Attach p4 Plot Plans;(2)sets nf Building Plans;(1)set of Energy Forms;R-}4N Permit for new construction, <br /> Minimum ten(1V)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81dumpatnr;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus oLife Safety Page;(1)set of Energy Forms.R,O-W Permit for new c*onstruohon. <br /> Minimum ten(1U)working days after submittal date. Required onsite.Construction Plans,Shormvater Plans v/Silt Fence installed, <br /> Sanitary Foci\itino&1dumpmter Site Work Permit for all new projects.All commercial require rents,must meet compliance <br /> SIGN PERMIT Attach(2)sets of 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*u5V0,a Notice of Commencement isrequired. (VC upgrades over*75D0) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing' <br /> same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles 8nwem Service Upgrades /V0 Fencem(P(oUOumey/Footogo) ^ ^' <br /> ' ' <br /> Driveways-Not over Counter ifnn public omdv«aya..noodsROW <br /> ^^ <br /> ' <br />