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City OfZ8ohvrh|lls Permit Application Fax-818-780-0021 <br /> Building Department <br /> OwnersPhone Contact for Permitting <br /> �== OwnerPhone Number <br /> uwnwro/du,mss 7--Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder <br /> JOB ADDRESS yn� LOT <br /> I[31� _Z5;-7- <br /> SUBDIVISION |D# <br /> I (OBTAINED FROM PROPERTY TAX NOTICEj <br /> WORK PROPOSED wawcowsrn AoD6ALT �--� SIGN F-� �-� DEMOLISH <br /> Ef INSTALL E REPAIR <br /> PROPOSED USE �--7 SFR F-� COMM �--� OTHER <br /> TYPE nFCONSTRUCTION E:2- BLOCK �-� FRAME F--� STEEL <br /> DESCRIPTION OF WORK F i�iw S* 1�_nqv- ��, IQ to:.�i d-enoL 1,4 <br /> BUILDING SIZE S' Q FOOTAGE 2-:5r(' HEIGHT <br /> �_]BU|�D|N� VALU��ONDFTOTA��ON8T�U��ON <br /> F--lELECTR|CAL �-� pRDGRES8ENERGY F--1 YV.R.E.C. <br /> =PLUMB|NG <br /> =MECHANkCAL VALUATION OF MECHANICAL INSTALLATION <br /> �-�GA8 F�7 m]OBNn �� � SPECIALTY OTHER�--1 <br /> ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER CoMPANY <br /> SIGNATURE REGISTERED ���1' rEEcunRE^ �Y/N ] <br /> xddmoo lrmw License# <br /> =-LECTR|C\AN COMPANY <br /> SIGNATURE nsm/nTceso ^ FEEounnex � <br /> Address <br /> 3LDMBE8 COMPANY <br /> BGNATURE Res/ersnEo 'Fesbunnex <br /> Address License# <br /> 0sCHA0|CAL COMPANY <br /> 3!s0ATVRE nsG/orsnso � � <br /> Address <br /> )ToER ���P4mY <br /> |GNATUR�� RsoIorsnso [�Y!N ( pssoumRsx <br /> Address Licnnoe# I Cc <br /> IES\DENTAL 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 Plan�,Stormwater Plans w/Slit Fence installed, <br /> SaPitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects,OMMERChAL Attach(2)complete sets of Building Plans plus a Life Safety ��Puge�(1>eofEnangyF6r�_/ <br /> ;.R,6 W Permit for new 'cmnuUooVun. <br /> Minimum ten(1O)working days after submittal date. Required nnsdo.Construction Plans,Stormwater P|onoy/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerc7ial'requirements'must meet compliance <br /> UGNPE8M|T Attach(2)sets of Engineered Mks. <br /> **°°PRJPERTY SURVEY required for all NEW construction. ' <br /> ..~..~.~. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> |r over*oaoo,a Notice of Commencement isrequired. (*/c upgrades over*T5oV) <br /> " Agent(for the contractor)or Power nf/Mt rne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> /VER THE COUNTER PERMITTING (copy of contract required) ' ' ^ <br /> ,emofs|fshingles Sewers Service Upgrades AAC Fencoa(=|oVOmmey/Footago) ` <br /> Driveways-Not over Counter ifon public madvayo'noodoROW ' <br /> ! <br />