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e�a�eo-oozo City of Zephyrhilis Pem'iit Application F�$�a-7eam2� <br /> BuiWing DepaAment <br /> Date Received ���� Phone Contad for Permilting � —�OV <br /> 1 �>/i 2 <br /> Ownels Name �� LCf✓ Owner Phone Number J� <br /> Owners Address Owner Phare Number <br /> Fee Simple Titleholder Name IVrC � Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS LOT� � <br /> SUBDMSION PARCEL IDA O <br /> (OBTNNED FROM PROPERTYTAX NOTIC� <br /> WORK PROPOSED � NEW CONSfR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK <br /> � � <br /> BUILDING SITF � x SQ FOOTAGE HEIGHT <br /> �UILDING $ /� �- VALUATION OF TOTAL CONSTRUCTION ���,/�� <br /> lJ v� � <br /> �'�LECTRICAL $ APAP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q'�LUMBING $ r �j�/ <br /> dECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /� <br /> QGAS Q ROOFING Q SPECIAITY Q OTHER <br /> FINISWED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANV � O�r a/"u <br /> SIGNATURE RECisr�rt� N �cuR�n N <br /> ndaress ucense# / ��Z�''J�0 <br /> ELECTRICIAN COMPANY � C�(LC C. <br /> SIGNATURE RECaISTFRFD N FEECURREt� w N <br /> Address License# /C.. 0 <br /> PLUMBER �MP� �• � C' <br /> SIGNA'fURE REGISTFRED Y N FEECURRE� N <br /> Address License# �0 � <br /> MECHANICAL COMPANY r► <br /> SIGNATURE REGISTERED Y N �cuwtEn N <br /> p�� lJcerue# <br /> 07HER �MP� <br /> SIGMATURE REGISTFRED Y/N FEECURREI. Y!N <br /> Address Licerue# <br /> � � � � i � � � � � � o � � � i � � � � � � t � � � � � � � � � � � � � � �•� � ei � i � � � ttio � � � e � � � i � � � o � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(�)set of Energy FormS;R-O-W Permft for new consVudion, <br /> Minimum ten(10)working days aRer submittal date. Requlred onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence instalted, <br /> Sanitary FacilRies 81 dumpster;Sde Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)comptete sets of Build'mg Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence instelled, <br /> SanRary Facilities&1 dumpster.Site Work Pertnit for all new projeds.All commercial requiremeMS must meet compliar�ce I <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cansttuctiort <br /> • S 1 6 1-1 6li.l 1 I�i.l • • 1 • � <br /> Di►eUfons: I <br /> Fill out application complelety. I <br /> Owner&Contractor sign badc af applic�ion,rrolarized <br /> If over S�.a NoBce of Comrt�encement is required. (AIC upgrades over E'7500) <br /> '" Agent(for tha contractor)or Power of Attomey(for the ownw)would be saneorre with notarized letter fran owner authwfang same <br /> OVER THE COUNTER PERMI771NG (Front af Application�nty) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fertces(PIoUSurvey/Footage) <br /> DrivewaysNot over CouMer if on public roadways..needs ROW <br />