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F��81o�8o��� <br /> City ofZeph"�h\\\S Permit Application <br /> Building Department <br /> Date Received 3-17-1 t for Permitting <br /> ' <br /> ate I 7!!!ffr <br /> Phone Contac <br /> Owner's Name H7Y;�r Owner PhOneNumue <br /> owner'uxdd,wss 1. 3S owner pGonoNumber <br /> � <br /> Fee Simple Titleholder Name owner Phone mumbo <br /> Fee Simple Titleholder Address <br /> ' <br /> JOB ADDRESS LOT# <br /> SUBDIVISIONARCEL m# <br /> . ~(OBTAINED FROM PROPERTY TAX—NOTICE) <br /> — <br /> WORK PmopomED ' wewcomcm F7 Aoo/ALT �--� SIGN [--� [--� DEMOLISH <br /> \ ) INSTALL �_� REPAIR <br /> PROPOSED USE �—� aFR �—1 COMM F---\ OTHER <br /> TYPE OFCONSTRUCTION BLOCK �—1 FRAME F--� STEEL <br /> DESCRIPTION OF WORK irqu_ Saffi <br /> __________ HEIGHT _ <br /> E,_�]BU|LD|NG VALUATION oF TOTAL CONSTRUCTION <br /> ' ���(EL��T�|��L AMP SERVICE �--\ pROGRESSENEREY �--1 YY.R.E.C. <br /> go <br /> ___ <br /> . <br /> E� <br /> Zoo Fr—�MECHANk�AL ^�� <br /> r�� SPECIALTY OTHER <br /> ���� ROOFINGaft <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE,AREA <br /> =YES NO °= <br /> 14 <br /> BUILDER COMPANY <br /> SIGNATURE nsoxSTsnEo LY/_N_ rEEc»«neN L_�1�L_1 <br /> Address ucanoo# <br /> ��T��� ��P�Y <br /> SIGNATURE xEaaTEnso ` ���cunne^ � <br /> Address License# <br /> ' <br /> PLUMBER ' <br /> COMPANY <br /> SIGNATURE o nEGxnenso rsstmnRe LILNi] <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE wylN_1 F�EcunnsN `U,N_1 <br /> xddmas <br /> OTHER COMPANY <br /> SIGNATURE Ri Y/ N I FEE ounRs^�� <br /> ' <br /> Auu,oso Uoanoa# <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(1n)working days after submittal date. Required onoVe.Construction P|an�Stormwa�r Plans v/GiK Fence installed, <br /> SmdtaryFa�(\�aa&1dumpnter;Site YVorkPmnnitfor subdivisions/large pn� �es � <br /> cCOMMERCIAL /�� �ch(2>oomp|eboa� ofBu||dingP|ansp|usoLifaG�b�Page;(1)oetufEno�yFc�_�o.R-O�W�enh\tforne*conmtruoUon. <br /> Minimum ten(1o)working days after submittaldate. Required onn7ba'Construction Plans,Gha P\annv/q\)t Fence\naUal\ed. <br /> Sanitary Facilities&1 dumpster.Site Work Permitfor all new projects.All Commercial requlrbment5'must meet compliance ' <br /> SIGN PERMIT Attach(2)sets of Engineered PiIane. <br /> °=°pROPERTY SURVEY required for all NEW construction, ' <br /> Fill out oppUcatiuncompletely. <br /> Owner&Contractor sign back nf application,notarized <br /> Ifove,$uano^o Notice of Commencement isrequired. VA(Cupg'rados over$?5VO) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be som eons with notarized letter from owner authorizing' same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fenceo(P|oV8umey/FootaQe) <br /> Driveways-Not over Counter ifnn public madways..neodsROW <br /> / . <br />