Laserfiche WebLink
81'-4780-0020 City of ZophBuildingythillsDe Permit Application <br /> partment <br /> Date Received Phone Contact for Pem"nitting 13 )79a -5 <br /> -r-y-r-r-r -to-q 3-5 <br /> owners Name At#e -IFL LL owner Phone Number <br /> 6 <br /> ownees-jAwddressal-7-17 Fjvokfio 12 0 Sfe-AQQ Owner Phone Number <br /> Fed Simple Titleholder Name own.Phone Number <br /> Fee Simple ndeholder Address <br /> JOB ADDRESS 3'bJ4_LACC6fIf_1 :5+ J LOT <br /> SUBDIVIS101"! lffi4esdic, Oaks- PARCEL ID# 'P I-Do go-0 0 000-14_&Q__J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CDNSTR ADDIALT SIGN DEMOLISH <br /> P INSTALL 9 REPAIR <br /> PROPOSED USE M SFR r7 COMM OTHER <br /> TYPE OF comsTRucnoN = BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Res F-aual A/d d-hanlea-L-P, I eo ::.n tj <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> an-V,'ECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING = SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATUR4 F REGISTERED I YIN FEE CURREN L_LLN J <br /> Address License <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRET, <br /> Address License# <br /> MECHANICAL COMPANY R:6: "o ne &asit <br /> Z 4 n <br /> SIGNATUR.. REGISTERED I Y/ N FEE MRREh I Y/N <br /> Address 4 l4qlAlk�n f?d- Zhi/16 39�9M License#1tA_?q0_t4-?Q'49 <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN LY-0-i <br /> Addrel;s' License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms*,R-O-W Permit for now Construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster: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 constr�,don. <br /> Minimum ten(10)working days after submittal data_ Required onsite,Construction plans,Stomiwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new Projects.All oommer.cial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . <br /> al <br /> Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C upgrades over$TWO) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerces if sningles Sewers Service Upgrades AIC Fences(plottsurvey/Footagg) <br /> DrivewaYs-Not-6ver(36iinier If 6h public roadways:meeds Row <br />