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''-- uDyot zephyr Permit Application Fax-88-780-0021 <br /> BuU0*gDnportment <br /> 77 1Phone Contact for Permitting <br /> ^ ' <br /> Date Received <br /> Owner's Name Owner Phone Number <br /> Fee Simple TitleholderName Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> aVBo|NSIoN |D# <br /> F�5 25E 2-16 J�h ()0:2-60 CO20 <br /> (OBTAINEE�FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' mmvcomuTn Aoo�Lr �--� SIGN �—� �—� DEMOLISH INSTALL E REPAIR <br /> PROPOSED USE F--1 GFR F—1 COMM OTHER <br /> TYPE QPCONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE F_ SQ FOOTAGE��� K HEIGHT <br /> ' <br /> F--lBU(UD|NS <br /> �--� vALuAT\oNoF TOTAL CONSTRUCTION <br /> =ELECTR|CAL AMP SERVICE F--1 PROGREGSENERGY [--1 YV.R.E.C. <br /> =PLUMB|NG <br /> �—l�E�H�Nk�� ��|NaT8Lu��oN <br /> �__^ VALUATION OF...�~...`. <br /> r�� <br /> | |GA8 L�_J ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - <br /> eUILoeR COMPANY <br /> SIGNATURE ssomrsnso <br /> Address lm,w T-aecm-l),­ License# Eaco,S 9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE neo/orsnso <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE nsG/arEnso <br /> Address Unanso# <br /> MECHANICAL COMPANY ofbqVg <br /> SIGNATURE nso/STsnEo <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE nso/ersnso <br /> FEE CURREN <br /> A ddress Licenae# I cc <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R,O4WPermit for new conobuoUnn. <br /> ' x8\�mumten(1O)wmrNng days a�arnubmiMa\date. Required Co <br /> nstruction <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _} <br /> COMMERCIAL Aboch(2)complete sets of Building Plans plus aLUeSa��Page;(1)s��of Energy F��n.F-C-w�e��it1bro�*�mnn�unbon. <br /> Minimum ten(1o)working days after submittal date. Required onnite.Construction Plans,Gtonnwe�r Plans v/Si�Fence in�oUod. <br /> Sanitary Fa�\i�ne&1dumpohoc Site YVpdkPermit for all new pn�e�s.All cnmmon�a|naquirbments must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Pks. <br /> °°°°pROPERTY SURVEY required for all NEW construction, ' <br /> Fill out application completely, <br /> Owner&Contractor sign back o[application,notarized <br /> If over$25oV'a Notice nf Commencement isrequired. (AIo upgrades over*T50U) . <br /> � Agent(for the contractor)or Power nfAttoma�(for the owner)would ba someone Withnotarized letter from owner authorizing' same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rammfs if shingles sewers Service Upgrades A/C Fnnneo(P|ot/8umey/Fnotage) . <br /> Driveways-Not over Counter Ifon public modwaym.aoednROW <br /> / . <br />