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$��-��� City of ZephyrhiUs Permit Application F�$��-��21 <br /> - euair�g oepartmern <br /> r Dete Received �"'� �'' Phone Contact for Pertnitting !O c C 10 � <br /> Owners Name �(,� � C(,, Ow�er Phone Number � � � <br /> Owners Address Owner Phone Number <br /> Fee Simple Titlshdder Namo Owner Phone Number <br /> Fw Slmple Titleholder Address � <br /> JOB ADDRESS � � � 3 3 � �, LOT # � <br /> SU6DMSION PARCEL ID/! t/ � - � O� O O' <br /> (OBTAINEO FROM PROYERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCIWN Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � q (,( 1 ( <br /> BUIIqNG SIZE Sp FOpTA(iE HEIGHT <br /> Q BUILDING IS � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> Q ELECTRICAL � � AMP SERVICE � PROGRESS E �Q W.R.E.C. <br /> Q PLUMBING S <br /> Q MECFiANICAL 3 VALUATION OF MECHANICAL INSTALLATION ! ���� J �� <br /> �� ,,��� <br /> Q GAS ROOFING � SPECIALTY � OTHER \ ��� <br /> FHJISNED FL.00 NS � ?. U p FLOOD ZONE AREA QYES QNO (� � <br /> J �� <br /> BUILDER COMPANY (�. <br /> SIGNATURE � REOIS7eReD Y/ N FEE CURRENT Y/ N <br /> Addrosa ���Sg � �C ' <br /> ELECTWCIAN COMPANY �— <br /> SIGNAT�IRE REdS'tEfiEO Y/ N FEe CuRRENi Y/ N <br /> Atldrass Lit:ense * �� <br /> PLUMBER COMPANY <br /> SIGNATURE RE6is��o Y/ N FEE CURRENT Y/ N <br /> Address � � —� <br /> MECHANICAL CpMpqNy <br /> ���1� RECis�r�o Y/ N �e cu�Nr Y/ N <br /> Address �� * <br /> OTHER COMPANY rT �P(�.7 Rdofi�, � �C• � <br /> S�aN� ��"'" rx�c,�s�a�D Y/ N �e cur�xr Y/ N <br /> Address a ! M P.C- r l� 3 3,�pS License* j ��y � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) seb oi Building Plans; (1) set of Energy Forms; R-0-W Permk for new construction, <br /> Minimum ten (70) waking days aRer aubmfttal date. Required onsite, ConsWdfon Plans, Stortnwater Plans w/ SNt Fence inatalled, <br /> sa�tlary Faah'6as s 7 aumpscer; sne wnrk Permit ror sunaivisionsAerye projects <br /> COMMERpAL Attach (3) complete sefs of Building Plans plus a Life Safely Pape; (1) set of Energy Fortns. R-0.W Permit far new construction. <br /> Minimum ten (10) worldnp days sRer sub�rottgl date. Required onsite. ConsUudion plans. Start�nvater Plens w! SNt Fence instalted, <br /> Sanitary FadUties & 1 dumpsEer. SRe Wbrk Pertnit for dl new projec�. AII commerdal requirernents must meet complim�ce <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY reqirired for all NEW oonafniction. <br /> Directions: <br /> FNI out applicetion completely <br /> Owncx & Contractor sipn Cadc of appllcadon, noterized <br /> If over �600, a Ndice of CommsncemerR ►s rsquired. (A/C uppradss over;5000) <br /> " Agent (iw Ihe coMractor) or Power of Attomey (TOr tl�e owner� would be someone wHh n�arized lefter from owner auUrorizing same <br /> OVER THE COUNTER PERMITTING (Front d Apppcatlon Ony) <br /> Reroofs Sewera Servioe Upprades A/C Fences (PIoUSurveY/Footape) <br /> Drtvewaya-Not o�r� CouM�'rf on public roedways..needs ROW <br />