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t,i:aso-ooze City of Zephyrhilis Permit Apphcat�on raX-eisasaooz� <br /> Building Departmeni <br /> Date Received � -� Phone Corttact for Permittinc I ' —� __ ' <br /> �axem�rx�.� - -=--,�-- <br /> S vc. ff /� � <br /> Owner's hame Owner Phone Number CJ I�J -' fpg "��d� � <br /> Owner's Address j 3 7�J /' ��j'� �. -��r Phone Number � <br /> Fee 5imple Titleholder Name �— _.. � Owner Phone Number �— � <br /> i <br /> Fee Simple Titfeholder Address � I <br /> �os aoorxESS �AD �rrrqer�rt•�tQ �,G•tdu,�uNS -r—' 33�� L I �or# � <br /> SUBDNfS�ON �---� pARCE D#L 1 i pZ - zh ' Z! -OOI C-obci� °� L$O <br /> �OBTAINE� FROM PROPERTY iNX NOTICE) <br /> WORK PROPOSED NEW CONSTr^ ADD/AL � � SIGN � MOVE � D�MOLISH <br /> � WSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHEF <br /> TYPE OFCONSTRUCTlON � BLOCK J FRAM= Cj STEEL � OTHEF <br /> DESCRIPTION OF WORK �` � �� <br /> r <br /> BUILDING SIZE SQ FOOTAGE � i HEIGHT <br /> � � - , �:r::�s�a:tp�.�r.sa�,� <br /> �� 3UILDING � � VAWATIOtJ OF TOTAL CONSTRUCTION <br /> I <br /> � � =�ECTRICAL �5 � i AMP SERVI�E � PROGRESS ENER3v C W.R.�.0 <br /> � '! UME3iNG �--� ����%� <br /> ,�f \'w <br /> r j IAECHANICAL�' S � ��j� ' VALUNTI�N 0� MECHANICAL INS?4LLATION <br /> � � / /� <br /> � '�AS �'�.- -J�36riNL-'� � S°ECIALTY U OTHER � � � <br /> i=1NISH�D FLOOR E:E�'aTIONS FLOOD �ONE AFcf. �YES �N,. <br /> f I <br /> ����� 3 , .. . . . �..}: �«.�.«:«k�.,�...�., �,,.,�,. � «.,,�� _� - - <br /> _� <br /> BUILDER I � COMPAN� � <br /> SIGNATURE REGISTEREC � Y� n j FE'cCURRENi � N� <br /> Address J License# i � <br /> ELECTRICtAN � � f _" ` �/L ► f �_.�,,,�C j COM?ANY � (�pp� �.+� -�- <br /> SIGNkTURE �'� 4;Joerf � � REGISTEReD N F CURRcNT / rv � <br /> Address � License # � O � Q � <br /> PLUMBER �— _� COMPANti � � <br /> SIGNATJRE 1 R2GISTERED Y i N T — T — <br /> � I F��CURREN' ��� <br /> Address ucer.se # � I <br /> MECHANICAL �! COMPANY I +y/ �,r�/'G� <br /> SlGNATURE „/� � s REGISTcREC Y/ ' FEE CURREhT ; N <br /> Hddress ( �—� <br /> License # <br /> pTHER COMPANY I � <br /> SIGNA7URE RcGISTEREC Y� n FEECURRENT Y' Iv <br /> Address � � License� C <br /> RESIDENTIAL Attach (2? Plot Plans (2� sets of Building Plans, (1 t set of Energy Forms. R-O-W Permit for new constructior. <br /> M�mmum ter. (�0� woriung days after submittai dafe Reqmretl onsite. Construc6on Plans. Stormwater Plans wt Silt F,ence installed <br /> Sanitarv Facilities & 1 dumpster Site Work Permit for subdiwsions/large pro�ects <br /> COMMERCfAL Attach (3y complete sets of Building Plans pWs a Lrfe Safety Page: (1 } set of Energy Forms. R-O-W Pertni; for new conswction <br /> Mirnmum ten (10) work�ng days after submittal date Required onsite Construction Plans Stormwater Plans w.' Silt Fence instalied. <br /> Sanitary Facilibes & t dumoster Site Work Permit for all new pro�ects. Ali wmmeraal requirements must meei comobance <br /> SIGN PERMIT Attach (2) sets of Engmeered Plans <br /> ""PROPERTY SURVEY reqwred for all NEW construction <br /> Directions: � � � - - - � -- � - - � ' <br /> Fill out applica!ion completely <br /> Owner 8 Contractor sign back of apphcat�on, notanzed <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> '" Agent (for the coMractor) or Power of Attomey (for the owner) would be someone with notanzed ietter from owner authonzing same <br /> OVER THE COUNTER PERMIT7ING (Front of Applicatwn Onlyi <br /> Reroofs Sewers Sennce Upgrades A/C Fences (PIOVSurvey/Footage) <br /> DrivewaysNot over Counter if on public rcadways .neeCs ROV�' <br />