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uItyof ZeOhVrh\|\8Pe[Olit Anp\iCGtiOO Fa»83-780-0021 <br /> Building Department <br /> hone Contact for Permitting <br /> Owner's Name Am n c Owner Phone Number <br /> Fee Simple Titleholder Name Own'er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS H'259 2- If i ke N.Lol�:Defvfl,-ZoP�,yfh i - I <br /> SVaoyNax)N PARosI ID# <br /> . ~~.A.~~FROM...~E.. ..~.__` <br /> WORK PROPOSED E5mcwcomsrn Aoo8ALr �--1 SIGN F--1 �—� DEMOLISH|N�T�LL �_1 REPAIR <br /> PROPOSED USE = arn F—� COMM �--1 OTHER <br /> TYPE oFCONSTRUCTION r��� BLOCK F—� FRAME �--1 STEEL F--| <br /> BUILDING SIZE SQ FOOTAGE 3& HEIGHT 1 :1 <br /> F--�BU|LD!NG <br /> �—� VALUATION OF TOTAL C3NSTRUCT|ON <br /> �—�ELECTR|CAL AMP SERVICE �--) PROGRE8SENERGY F—1 VV.R.E.C. <br /> ___ <br /> �--�PLU�B|N� ' <br /> ___ <br /> �--|�ECMANk�� <br /> ONIf <br /> [--�GA� F��^ ROOFING �� � GPEONLTY | � | OTHER <br /> FINISHED FLOOR ELEVATIONS F_��, <br /> FLOOD ZONE AREA =YE8 NO <br /> aV/LoER COMPANY <br /> SIGNATURE nso/STsnso LY/ N rc�ou«:^^ L� /NL� <br /> Address Unonoe# <br /> ELECTRICIAN comp»mr <br /> SIGNATURE nsa/oreREo L_Y/ Nl FssounRE^ L5a_J <br /> Addmss License# <br /> P�U�a�� COMPANY <br /> SIGNATURE REGISTERED LY/ N 'pEECunndt, LIIN ~° <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE ' L2/'N pEsounnsx [����L� . <br /> Address License# <br /> OTHER COMPANY [��r <br /> SIGNATURE nsa/eTEnEo LY/_N_ pescunns^ L1LN__JJ <br /> Address License# <br /> RESIDENTIAL Attach(qPlot Plana;(2)sets of Building Plans;(1)set of Energy Forms; Permit for new construction, <br /> Minimum ten(1U)wmddng days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1dumpoter;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 nnsdo.Construction Plans,Stnnnwaar Plans v/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(2)sets of Engineered Plans. <br /> °°^°PROPERTY SURVEY required for ail NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notahzed <br /> )f over*25un.a Notice prcp6.meovumeotisrequired. (VC upgrades over*75Do) <br /> � Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authori;fing same <br /> OVER THE COUNTER PERMITTING (copy uf contract required) <br /> Remofsifuh|ng|oo Severs SerVioeUpgnadao A/C Fonoas(P|oVGumey/Footage) <br /> Driveways-Not over Counter ifnn public madvays..noodoROW <br />