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uUyofZephYFh\\lGPermit Application F�����2O� � / <br /> BuUdingDnpatiment <br /> BUILDING-91ZE SQ FOOTAGE HEIGHT <br /> Received Phone Contact for Permitting <br /> Owner's Name C_ Owner Phone Number <br /> Owner's Address 7D�-�pcl,f( 3433`—Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (OBTAINED FROM PROPERTYTAX NOTIGE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> ff INSTALL F I REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION E:2— BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK A <br /> ' <br /> =BU0DING 1161 VALUATION OFTOTAL <br /> �--1 �--� PROGRESS �—1 YVR-E�� <br /> . �__��L��TR|CAL ��PS�F�1�� . <br /> =PLUMB\NG ' <br /> =MECHANkCA VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r�� ROOFING �—l � SPECIALTY OTHER <br /> OTHGR <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE3 NO <br /> - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED N'N ]' pEEounnEN [YIN � <br /> Address # <br /> ELECTRICIAN COMPANY- <br /> SIGNATURE naa|nTsnEo I N I^ FEEnunnsx — <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE0 nea|arsnso 'rss�unns� <br /> . <br /> AddressUo�n # <br /> MECHANICAL COMPANY <br /> SIGNATURE �eomr�nso ` pftsouRnexV <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE neeISnsneo rsscumRsN <br /> Address Ucnnno# <br /> RESIDENTIAL 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 unsde.Construction P|ons.,Shunnvnater Plans v/Slit Fence installed, <br /> Gan/taryFacilities 81 dumpatec Site Work Permit for nubdivioiomsl|anguprojects } <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set ofEnergc��yF _e.R~[-N' errrflt for new construction. <br /> Minimum ten(1O)working days after submittal date. Required onshe.Construction Plans,Sho Plans v/Gilt Fence installed, <br /> Ooni��Faci!�os&1dumpo�r Site VVodkPenn�for oUnew pn�ads./U\commoo�a|noqu\renent�must meet compliance <br /> SIGN PERMIT Attach(2)oets of Engineered Plane. <br /> ^°"PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2a0n,a Notice of Commencement isrequired. (AIC upgrades over$?5OV) <br /> Agent(fbrtho contractor)orPnwe cf/dtome�(forthaownmr)wouldboaomemnowithnotahzed|otterfrnmovm �.66ttlorid�' —. .' <br /> OVER THE COUNTER PERMITTING (copy nfcontract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(P <br /> Deiveways-Not over Counter ifonpublic road*eyo,nondaROVy <br /> ' <br /> ------ <br />