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a��-�ao-oozo City of Zephyrhiiis Permit Application � <br /> f 402, <br /> ' . - Buildmg Department <br /> Date Recelved <br /> Phone Contact for Permittin $� 3 ���j _ Q 3�3 <br /> owner's Name � �NNI�/e QMES � � <br /> Owner Phone Number / y —/��p <br /> Owner'a Address �SS$O L/ L/fTWA✓F �• �.?/0 �' 3�7io <br /> '��N�`��� Owner Phone Numbor ' � ? <br /> Fee Simple Titleholder Name <br /> Owner Phone Numbar ��", � <br /> Fee Stmple Titleholder Addreas j[ �� <br /> JOB ADDRESS J/� �,�, � zE/�y�/Qy/L�• �L 33 S7 d 89 <br /> LOT # <br /> SUBDIVISION �/LpNp f�,4�� PARCEL ID# 0,3 -•Z(o - 2l- O z 3 O- 000 -�(7 <br /> � (OBTAINED FROM pRppERTy TqJ� Np7� <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL � REPAIR O Q DEMOIiSH <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC710N � BLOCK � FRAME �� STEEL � <br /> DESCRIPTION OF WORK �FW CONcST�Q(/GT/Q/� -- TQ (�/^/��MES <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT � sr0� y <br /> �BUILDING $ <br /> 3�/ GSO VALUATION OF TOTAL CO►VSTRUCTION <br /> QELECTRICAL $ 3�,�o AMP SERVICE �' PROGF2ESS ENERGY <br /> Q W�.C- <br /> �PLUMBING $ ' �� <br /> �3�.T� <br /> �MECHANICAL $ y a ys. VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING � SPECIALTY <br /> �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES Np <br /> �-H—F.-1�..F_.�_;_ <br /> BUILDER COMPA►�Y �EN/V�j� OM�S <br /> SIGNATURE <br /> REGISTERED Y/ N �E Cu� Y/ N <br /> Address �SSSD �I(rN �.�/O �LfA'�!✓�)Tf/(� FL,� �O <br /> uc��e # CG C /S/'8 /(o (o � <br /> ELECTRICIAN � COMPANY OMoNSpN G LE�T/Q/� ?j�/� . <br /> SIGNATURE <br /> REGISTERED Y/ N FEE (�N Y/ M <br /> aad�ess iO3y Sk�P � �, F� 33G/3 uce,�se # FC pp0 �S'� <br /> PLU^^�?FR COMPANY BMIN P�CVN,16//�J(t <br /> SIGNA7URE <br /> REGISTERED Y/ N FEE CURRFI� Y/ N <br /> A�,�.o� `32� y s v,Ew L 3 � <br /> ��►� # C F� 0 a/S� p <br /> MEC�'^,'ICEL COMPANY �A4/D,t/FT �vM.Q/N�r ,�` <br /> SIGt ' ir ?�+9T/N{s � I�� <br /> REGISTERED Y/ N FEE CUPo2Ep / <br /> d Y/N <br /> Ar+�!ress /_• �•LJOX�.'�as FllO/NT �. .�{(r'JIJ� . <br /> ��# CACaS�Db 2F�� <br /> OTN�? <br /> SIG `� i�F COMPANY C.!'�R,� 1�,,��„ /�OiGi'��Jl.� f�� <br /> REGISTEREp �'• C• <br /> Y/ N �E Ct�N Y/ N <br /> t'' ess �l��l,f yoA� L!N BG�/O S'PR/�v6l�il/GL FC 3�Yi 'J <br /> �iiiiiiii�����i�ii���i�����i�i����ii�ii��i�i��Li�i;;; ,�� ;+�; ������ <br /> RE °�� � •�� � Attach (2) Plot Plans; (2,� sets of Building Plans; (1) set of Energy Fortns; R-O-W permit fa new � <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcxion plans, StortrtMrater pFa� y�/ ��� �� <br /> Sanitary Facilities & 1 dumpster; Site Wor'�c Permit for subdivisions/large projects <br /> COn� ^� ���� n L Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set of Energy Forms. R-O-W pe� ��, ��� <br /> Minimum ten (10) Nrorking days after submittai date. Required onsite, Construcdon plans, Startnyrater p}a�s W� � F�oe ir� <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. Aii commerciai rey�ireme� m� ��� <br /> S�''"' " ""'T Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .i..l�. � � � i .� <br /> Dire <br /> F - ^�lic�tion compfetely <br /> � Con�ractor sign back of application, notarized <br /> ' ? sn�., a Notice of Commencement is required. (A/C upgradea over 57500) <br /> " � r thF contractor) or Power of Attomey (for the owner) would be someone with rtotarized letter from orwner authorizing same <br /> OVE^ �UNTER PERMITIING (Front of Application Only) <br /> Rerr �� -���� Sewers Service Upgrades A/C Fences (PbUSurvey/Footage) <br /> � �ys-Nnt over Counter if on public roadways..needs ROW <br />