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city of Zeohvrh Us Permit � Fa*O 8�8O�V2irz�Date Received Phone Contact for Permitting F(a,512 <br /> 4o�\\�� �D � a*u <br /> Building Department <br /> com <br /> 0 ow r's me Owner Phone Number <br /> .owner's Addressl 17_(Am,:rf e Co MNr .7apc% 33 3�- Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � <br /> SuaomISIow P/wRCEL0# <br /> —_—_ '—, <br /> OPERTY TAX NOTICE) <br /> WORK PROPOSED mnWcomSTR ADD64[T �--1 SIGN �—� [--| DEMOLISH INSTALL REPAIRPROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> | (BU|LDING VALUATION DF TOTAL CONSTRUCTION <br /> �--1 P�OGREOoEN�RGY �—� ��R�/� <br /> �--7ELECTgC8L AMP SERVICE / <br /> [--�PLU| 0N� <br /> ___ <br /> �—��ECMAN|�AL MECHANICAL INSTALLATION <br /> �_� . <br /> F--lGAs F-2� ROOFING [—| � SPECIALTY | { OTHER <br /> FINISHED FLOOR ELEVATION� FLOOD ZONE AREA E �__�YES NO <br /> - - - - - - - - - - - - <br /> 1.464.46.11.4l..." 11-, . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE nsoISrsnEo L_ _| peccvnnE* L���L� <br /> AddressUnensa# <br /> / <br /> ELECTRICIAN COMPANv <br /> SIGNATURE neo/orsxso LY N I pssounns^ L� /N I <br /> Address Uoamse# <br /> PLUMBER COMPANY <br /> SIGNATURE nEomrsneo L��_�_� '"ssuunns^ L.��/NL� <br /> Address Licenl3e# <br /> MECHANICAL COMPANY PJr0J1V5S1Qe_ <br /> SIGNATURE 0 1 , L -r/.N_( pssounnEx —L~y/NL] <br /> Address Linenso# <br /> OTHER COMPANY <br /> ;� REGISTEREDL��� �scun�x m\�NA3� L_y LN__�» <br /> . . <br /> Address License# <br /> RESIDENTIAL Attaoh(D)P|otP|ano;(2)uetoofBui|dingP\ann;(1)uotofEnorgyFonna|F4O4NPennitforne*oonobucbon. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1dumpeter;Site Work Permit for ouhdivioionsNarguprojects <br /> COMMERCIAL Aifach(2)complete sets of Building Plans plus oLife Safety Page;(1)set of Energy Forms.R'O4W 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&I dumoster.Site Work Permit for all new projects.All commercial reqtjirementS'mmt meet compliance <br /> SIGN PERMIT Attach(3)sets of Engineered Plans. <br /> °^°PRJPEFTY SURVEY required for all NEW construction, ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> |f over*2suo.a Notice v,Commencement isrequired. (uo upgrades over*75VO) <br /> � Agent(for the contractor)or Power ofAttorney(for the owner)would be someone Withnotarized letter frnrri owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy o[contract required) <br /> R:mofs if shingles Sewers SentiooUpgnadao A/C Fanoas(P|ot/Sumey/Fnotage)' <br /> Driveways-Not over Counter ifon public modvays,nemdmROW <br /> . <br /> ' ^^ . <br /> ' <br />