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-.~ .~ .� uity of Ze � Permit ApplicationF�����% <br /> � �� <br /> Building Department � <br /> Date Receiveld Phone Contact for Permitting <br /> Owner's Name nc Owner Phone Number ct <br /> Fee Simple Titleholder Name -sn M-e— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 33::N <br /> muaon/mxOw PARCsLUo# <br /> (OBTAINED FROM _PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED wewcowoTx AoD�o�' �--1 s|GN F--\ �--| DEMOLISHEf INSTALL �_\ REPAIR <br /> PROPOSED USE = � oFe �—� COMM �--1 OTHER <br /> TYPE OF CONSTRUCTION V,- BLOCK F—� FRAME �---1 OTEEL F--) <br /> BUILDING SIZE SQ FOOTAGE 5Q(11f_f- HEIGHT <br /> �--�oU\U]|NG <br /> �—� YALUAT0NOF TOTAL CONSTRU��ON <br /> Cob I <br /> �—�ELECT0C8L AMP SERVICE F--� PROGREGSENERGY �—1 YV.R.E.C. <br /> ���� <br /> F--�pLV�o|N� <br /> �—� <br /> ib <br /> =MEoMANiCAL ' \ALU' ' |O NOFMECHANICAL INSTALLATION <br /> "GAS L�� ROOFING �—l � SPECIALTY F--� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> gV|�oER �D�PANY <br /> �(mNATu�� Lr,C, <br /> REGISTERED L� N� p�cunn� L YIN <br /> � <br /> 0 <br /> Address License CS <br /> eR <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsa/arsmeo /i N psEcunnsN LY/lN_I <br /> Add ressUmm�# <br /> ____7 <br /> PLUMBER > COMPANY <br /> SIGNATUREPe_�� nsuIsrsnso �.(iNi] 'pseounmitx `MlN_] �Ij <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE 1 REGISTERED ' [� l� pEEounneN —tL//lV_] <br /> Address � License# <br /> OTHER COMPANy/ <br /> SIGNATURE Reemrsnso �i ] rsEoonAcx I .hNi]~� <br /> ' <br /> Address Ununoa# <br /> x-x <br /> RESIDENTIAL Attach Cq Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R'O4m Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required onuita.Construction Plans,S1ormwa8ar Plans v/Silt Fence installed, <br /> Sanitary Facilities Gigumputar;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 onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumoster.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 all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power ofAttorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Reroofs if shingles 8owms Service Upgrades A/C Fennox(P|oVOuwey/Footago) <br /> Driveways-Not over Counter ifon public madvayn..neodsROW <br />