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— ---' L]tyot Zephvrhi\\8 Permit Application Fa�8 3�8O�O21 <br /> OO � �a�« <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Ite En � <br /> Owner's Name Owner Phone Number <br /> Owner'sAddressi Owner Phone Number <br /> Fee a�ndoT�nhvdarName owne,pnonomumuor <br /> Fee Simple Titleholder Address <br /> aVBowISxOm 4*mvELw# <br /> (OBTAINED FROM PROPE�RTY TAX NOTICE) <br /> WORK PROPOSED . wEWmmsm F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL |�| REPAIR <br /> PROPOSED USE F—� aFR �—1 COMM F---� OTHER <br /> TYPE OFCONSTRUCTION F—�J� BU]Q( F—� FRAME �--� STEEL <br /> DESCRIPTION OF WORK '�ifqV_ <br /> BUILDING SIZE SQ FOOTAGE J��"T3 S& HEIGHT <br /> �--l8U|LD\NG <br /> �--� VALUATION OF <br /> �—�ELE�TR\��L AMP �--} PROGREG�ENE�GY [—1 YY�R.E.C. <br /> __—_ <br /> =pLUMB\NG <br /> �7 <br /> �--��ECMANk�AL C8L|NSTALL/�l <br /> `--� ' -- '— —�� <br /> =GA8 . L� | ROOFING F—� � SPECIALTY [--� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F--lYEG NO <br /> BUILDER COMPANY <br /> SIGNATURE nso/sTEnso L_I���_1� pcEn»ensN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsG|ansnso ` psEounns^ [_`0,N_� <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE o nsmSTsnso <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE nsa/arsnso F�Ecunns^« <br /> ^ <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE n1 _y/N I pEecunnsx YIN —I <br /> ' <br /> Address Uoenoa# I Cc <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(1U)working days after submittal dote. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects } � _ <br /> COMMERCIAL /��oh(2)comp|e�ao�ofBuUding Plans plus aUfaSe��Page;(1)set of Energy F��_a.R,O-�/Ponrflt for new construction. <br /> Minimum ten(10)working days after submittal date, Required onoito.Construction Plans,Gtonowo�r Plans v/Silt Fence\n�aUnd. <br /> OunKaryFa�|�aa&1dumpstec Site VYodhPannitfor all new pn4e�a.All cnmmondo|naquiremonto must meet compliance <br /> SIGN PERMIT Attach;4 sets mf Engineered Plans. <br /> "°°PROPERrY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized . <br /> If over$25oO.a Notice of Commencement isrequired. (AIC upgrades over$75VO) <br /> Agent(for the contractor)nr Power ofAttorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofsifshingles Sewers Service Upgrades A/C Fenooa(P|oVGumey/Foutage) . <br /> Driveways-Not over Counter ifon public modvayn.needmROW <br />