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e�s-Teo-oozo � City of Zephyrhilis Permit Appiication rax-u��-�nu-uux, <br /> 8uilding Department <br /> Dake Recetved � phane Contact far Permittin <br /> Owner's Name Y�. � Owner Phone Number O l� "���'T`►�CJ <br /> Owner's Address �7�`�'� � S� Owner Pho�e Numbar �, ,� <br /> Fee Simple Tittehoider Name Owner Phane Number� <br /> Fee 5imple TiNehotder Address <br /> JOB ADQRESS ��`-�� �tJ `� S� LOT# � <br /> SUBDIVISiON � � PARCEL ID# � 1"Z�Z��'Q(�l b'�'T SL7O�C�U�1�..� <br /> {OBTAIt�d FROiYt PROPfRTY TAX N4TiCE} <br /> WORK PROPOSED �e NEW CONSTR e ADD/ALT CJ SIGN [� MOVE [] DEMOUSH <br /> IP1STAlL REPAIR <br /> PROPOSED USE Q SFR � COMM C] OTHER �^Y' <br /> TYPE OF CONBTR!lCTiQN � S�OCK Q FRAME Q STEEL Q OTHER <br /> o�sc���s�aN oF WoRK e—('r�c� ' c�4 " `,s�S�c.I 1U�.n.S C4�.• � �' S�r�. � <br /> BUILDIN(3 SIZE ��� 8Q FOOTAGE��C� � HEIGHT � �J f <br /> [� BUILDING ($ � VALUATION QF TOTA�CONS7RUCTION <br /> I <br /> � EIECTRICAL ($ � AMP SEFtViCE � PRQGRESS EhiEf2GY Q W.R.E.C. <br /> � <br /> Q PLUMBING ($ — � ���� <br /> MECFtAt+l�CAI '$ VALUATION QF M1ECtiAfVECA�.�i�tSTRILAT�QN ,�j, <br /> o {r�r � �� <br /> Q GAS ftOOPi3dG Q SPEGlAI.TY Q OTtiEft j��� <br /> FINIBHED F1.00R ELEVAT NS • � � FLOOD ZONE AREA QYES QNO <br /> . . <br /> BtfIGDER r GOMPANY Q� <br /> SIGNATURE REGI9TERE0 Y! N FEE NT Yf N <br /> Acidress License# � � <br /> ELECTRlClAN COMPANY <br /> SiC,NATURE t�s��s're�o Y! N FEE CURRENT Y 1 N <br /> Addresa� � llcense# �� � <br /> PLUMBER COMPANY <br /> S1Cs1"lATkliiE REGISTEf2ED Y/ N FEE CURRENT Y 1 N <br /> Addres� License# �— � <br /> MECHANICAL COMPANY <br /> SIGNATURE REG187EREO Y/ N FEE CURRENT Y/N <br /> Addresa� License# �� � <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Addreas License# � � <br /> RESIpENTtAt. Attach{2}Plot Plans;{2}se#s of 8ulldtng Plarrs;{1j set o#Enecgy Forms;F2-O-W Permlt(ar neur construcUan, <br /> Minimum ten(10)wo�icing days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivislonsflarge projects <br /> GOMMERCIAt A#tach(3}complete Sets o#Bulldfng Plans pius a�Ite Satety Page;(i}s�t of Energy Forms.F2-O-W Petmi#for new ca�sttuctlan. <br /> Minimum ten(10)working days after submittal date. Requirsd ortsite,CansL^.:ctlon�lans,Storrnw.alst Pl�s wE SNt-E�-k►etaUed, <br /> Sanitary FaciltUes 8 1 dumpster.Site Work Permit for all new proJects.All commercial requiremenls must meet compliance <br /> SlGN PERMlT Attach{2}sets of Englneered Ptans. <br /> ""`PROPERTY SURVEY required for aii NEW canstruc8on. <br /> i}irectians: <br /> Fi1t out application compieteiy. <br /> Qwner!�Contractor sign back af application,natarized <br /> !f over;254U,a Notioa af Gammencement is required. (AfC upgrades over i5000j <br /> •' Agent(far the contractar)or Power of Atkamey(for the owner)would be sqmeane with notarized letter from owner authonzing same <br /> OVER THE COUN7ER PERMITTlNKi (Front of Applicadan Onlyj <br /> Reroofs Sewers Service llpgrades AJG �Fences(PlaUSUtveylFoot�ge� <br /> Oriveweys-Not over Counter if an public roadways..needs ROW <br />