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' --' UUy ofZ8phYrhUls: Permit Application ' Fax-83-780-0021 <br /> Building Department <br /> Date Received C_c) <br /> Phone Contact for Permitting <br /> Owner'sName Inc— Owner Phone Number <br /> Owner'sAddressl lu"Oi' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS EC10(03 "�Ii-ryri oaf� <br /> w <br /> SUBDIVISION :��k4ARCEL IDA 3X25- ?=j olsb (51S�m 0o ZO <br /> vr (OBTAINED FROM PROPERTY TAX NO�A) <br /> WORK PROPOSED L�J . wamcows7xL_J aoox�c/ SIGN DEMOLISH <br /> F—� INSTALL |—1 REPAIR <br /> PROPOSED USE F--� oFR [--| COMM �---} OTHER <br /> TYPE OFCONSTRUCTION E—]° BLOCK [--\ FRAME F---� 8TEELBUILDING-91ZE SQ FOOTAGE HEIGHT <br /> F--� <br /> �_1BU|LD\NG VALUATION OFTOTAL CONSTRUCTION <br /> =ELEOTRICAL ` AMP SERVICE �--1 PRDGRES YY.R-E.C. <br /> 1'P 3_4 5 <br /> �--lpLU��\NG �~ <br /> �� <br /> �--l�EoHAN|�AL |c�L\NaTA�L�T00~ <br /> �--^ VALUATION ��� <br /> =GAG ' ROOFING F—� SPECIALTY [---1 OTHER m <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY nc <br /> SIGNATURE nea/arsnso LY _2_ rEEuvuxE» L_l/_N_I <br /> Address License# <br /> s��cT�|�|�N co�p*mv <br /> SIGNATURE REGISTERED �J FEE CURREN N� <br /> Address Ucense# <br /> PLUMBER COMPANY <br /> SIGNATURE nso/oTseso LY/_N_ pssnunnE^ L_II_N_ I <br /> . <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE nso/oreneo ^ LV/'N psscunnsxv <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE neo/STEnso LY1 l� I FEEounnsN LY/1 �] <br /> A ddress Uoeona# <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 onsIte,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects } <br /> COMMERCIAL Attach(2)complete set ��sets Page;(1)set ofEnerg _ <br /> yFv��sR^O-wPorrr\tforne*cmnstruohon. <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wt Silt Fence Installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements Must MeEt COMPI12nce <br /> SIGN PERMIT Attach(2}sets of Engineered Plans, <br /> °°°°PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out appUcatinncompletely. <br /> Owner&Contractor sign back o/application,notarized . <br /> If over*25Dn'a Notice of Commencement isrequired. (A/c upgrades over$75U0) <br /> � Agent(for the contractor)or Power of Attome�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> Rmoofs if shingles Sewers Service Upgrades A/C Funces(P!ottSumey/Fodogo) <br /> � <br /> Driveways-Not over Counter ifon public madmmys..noadsROW <br /> . <br />