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e��-�eaoo2o City of Zephyfiills Permit Application Fax-e��-�aaooz� <br /> Building Departrnent <br /> Date Received ' <br /> Phone Conhct for PertnitUng � _ � <br /> .....�.. -`_" _..,,- ..._.,_ .........,.,_ .,.., ,__. ,. ., . .... ....... ........... _ .... ..., ,...,.,. ,.,,..... <br /> Owner's Name � 0. n� G i 1 � L e J i� [. � fL Owner Phone Number Q� 3" 0 2 6 j 90?8 �c <br /> Owner's Address 5 7� g � C(S' S,f��.. Z l� �� 33 5 yi Owner Phone Number � <br /> Fee Slmple Titleholder Name W�( � 5 �-(�✓t. ,7 ry� Owner Phone Number -� <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS 3 9 3 3 I 5 f- �- f�V� Z� � h ,Z.�, //S l 3'j 5"�2 LOT # �� <br /> SUBDIVISION �_ PARCEL IDl! /� -� � - al -�nyo - nv/ov - ovr] v - oo / <br /> (OB7AINED FROM PROPERTY TAX NOTCE) � <br /> WORK PROPOSED B NEW CONSTR B ApD/ALT � SIGN Q MOVE Q DEMOLISH <br /> VNSTI�I REPPdR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER i' <br /> DESCRIPiION OF WORK ��'l CE �/�� S 'FC.(� ��I �10 �� V J �I � I �1 �r V i(, G v <br /> BUtLDING SIZE SQ FOOTACaE HEIGHT <br /> � BUILDINCo : 3 y 5 Q Z+ •� VALUATION OF TOTAL CONSTRUCTION - <br /> Q ELECTRfCAL � AMP SERVICE � PROGRES NERGY � W.R.E.C. <br /> Q PLUMBING �S � � <br /> Q MECHANICAL I S VALUATION OF MECHANICAL INSTALLATI N � J�� I '� <br /> I / �f �� <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER (/� <br /> T <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO <br /> ,' _- . <br /> � .,_ . . .., ... <br /> BUILDER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � <br /> License # <br /> ELECTRICIAN C�p <br /> SIGNATURE Recisr�o Y/ N �e cu�rrr Y/ N <br /> Address license � � <br /> PLUMBER COMPANY � <br /> SIGNATURE r�ois�o Y/ N �e cura�rir Y/ N <br /> Address �� <br /> License / <br /> MECHANICAL C�pAp� �- <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Addresa ��� # <br /> OTHER /� /� COMPANY ��`q ��9 �e��ce 1NC <br /> SIGYdATURE /`t �.C.. 'yt ON�LR/� REGISTERED Y/ N �e cu�rn Y/ N <br /> Address 3i l � t� � I c r �i �� ��2. W Z.51 � C,��C �I �1335y5 License # �-�-� <br /> RESIDENTtAL Attach (2) plot Plans; (2) sets of Buildinp Plans; (7) set of Enerpy Fortns <br /> Minimum ten (10) worldnp days efter submittel date. Required onsite, ConsGudion Plans, Sanitary Fadlfies 8 1 dumpster <br /> COMMERCIAL Attech (3) sets of Building Plans; (1) set of Eneryy Fortns. <br /> Minknum ten (10) wortdng days after subrttittal date. Required onsite, ConsUucdon Plans, Sanitary Faalities & 1 dumpster <br /> All comnercial requirements must meet oornpliance. <br /> SIGN PERMIT Atfach (2) sets of Enpk�eered Plans. <br /> " PROPERTY SURVEY required for all NEW construcfion. <br /> Directions: <br /> Fill out applicafion completely <br /> Owner & CoMrector sign badc M applicadon, notarized <br /> H orer j2800, a Notice of CommencemeM is required. (A/C upgrades over:5000) <br /> `" Agent (for the contractor� or Pawer of AKOmey (for the owner) would be sornepne witli noterized letter irom owner autharizing seme <br /> OVER THE COUNTER PERMIT7ING (Front of Application Only) <br /> Reroofs Sewers Service Upprades A/C Fences (pbt/Survey/FoWSge) <br /> Driveways-Not over Counter if on publ� roadways,.needs ROW <br />