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� From: '17/06/20�4 �0:56 #024 P o0�/00� <br />' o��-�o�-�,vzu City of Zephyr ills Permit Application Fax-8�3-780-0021 <br /> o - --�� Buil ing�epartment � <br /> loate Ptecelwed <br /> Phone Contae 1or Pe�mltlln <br /> O�roner'a Mame Owner Phone Mumber L ��� <br /> \ <br /> �nrneY's Address Ovvnsr Rhone Mumber �� <br /> Fee 3imp►e 4itleholder Name ,►�Se� OWne�Phone Mumbev '�� <br /> Fee Slmple Tltleholder Address V V�- <br /> JO�ADpRIESS C(� �0.�a I �"� � , <br /> L��J <br /> � �r-� ^ <br /> SUBDIMISION r � Pd\RC L IDd� " "(it U <br /> (OBTAINED FROM PROPERTY TAX NOTICEI - <br /> 1MORFC PROPOSED NEW CONSTR e ADO/ LT � SIGfV Q Q DEMOLISH <br /> INSTALL REPA R ��� � � <br /> PRO�OSED U36 U SFR Q COM �OTHER <br /> '�VPE OF COM9TRUCTIORS Q BLOCK Q FRA E � STEE� Q <br /> DESCRIPTEOAt OF M/ORlC U <br /> OQlILO1PNG SfZE SQ FOOTAOE y���d}R <br /> QBUILDING � VALUATI N�F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SER ICE � PROGRESS ENERGV Q W.R.E.C. <br /> PLUMBING $ <br /> QMECMANICAI $ VALUATI N OF MECMANICAI INSTALLATION � <br /> ��� � 8 3 <br /> QGAS Q ROOFING Q SPE IALTY [� OTNER � � <br /> FINISHE�FLOOR ELEVATlOIVS FLO D ZONE AREA �YES NO � <br /> 9UtLDER - ` -� �OMPAIVr F�L� � <br /> StGMI4TURE R GISTERED Y/ N FEE CURREF Y J N <br /> Addreas ""`��,� icense# <br /> �{LEGTRICIAEU '� O AMY <br /> slOfddLTURE R GI3TERE0 Y/ N FEE CURREP Y/I�I <br /> Address �icense# <br /> PLUI�lBER r �� OMPAfdV � 11 A AD`1 (/ . <br /> SIGMe\TURIE '- R GISTERED V/ N FEE CURREP Y/N <br /> Address � �] <br /> ��r�License t! <br /> IMIECHAMICA� O PAMf <br /> SIGR1/A�L.IRE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTFEE 061flPAMY <br /> SIGMATIJRE EGl3TEqE0 Y/ N FEE CURRE� Y/N <br /> Addrass �icense a <br /> QZESlDEfdT1A� Attach(2)Plat Plans;(2)sets of Butlding Plans;(1)s t of Energy Forms;R•0.W Permit for new construction. <br /> Minimum ten(10)working days aRer submlttal date. Requfred o�site.Constructfon Plans,Stormwater Ptans w/Slit Fence installed, <br /> Sanitary Faclliiies 8 1 dumpster;Site Work Pesmit fo subdlvlslonsllarge proJecte <br /> COMMERCIdL Attaeh(3)complete sets of Bullding Pla�s plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Per+nit for new constrvction. <br /> Minlmum ten(70)worklhg days afler submltlal date_ Required onsite,Canstruc6on Pians.Stormwater Plans w/Silt Fertce installed, <br /> Senitary Facilities 8 1 dumpstet.Site Work Permlt( ►all new projeets.All eommerelal requlrements must meet compiiance <br /> SIGM PERMIT Attach(2)sets o1 Enginaerad Vlans. <br /> ""PROPERTY SURVEY required for all NEW cons ructlon. <br /> plrecllons: <br /> Fill aut appllcatlon comptetely. <br /> Owner 8 Contractor slgn beck of apptieatlon,notarized <br /> If over 47500,a PAoNce oT Commencement Is requlred. (A/C u grades over 57300) <br /> •• Agent(for lhe contractor)or Power of Atlomey(for lhe owner)woul be someone with notarized letter(rom owner authori2ing same <br /> ONER THE GOUIdTER PERM17TIfdG (Front of Applleatlon Only) <br /> Rerools iT shlnAles Sewers Servlee Upgrades A/C Fen es(PIoVSurvey/Footage) <br /> Driveways-Not over Counter If o�publlc roadways..needs ROW <br />