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, s�aaso-oozo City of Zephyrhilis Permit Application ax-B 3- 0021 <br />� Building Department <br /> Date�Received y �' �� � �p� __ � <br /> Phone Contact for Per ing i <br /> ONrner's Name ��/��� � �1�N E� ner er �✓�'�o�-�oZ <br /> Owner's Address �y����,�T�-�O ����A" !�/r,lT� Owner Phone Number ��5-�°��T��� <br />' Fee Simple Titleholder Name � V/���'/a/�//���i�T����� Owner Phone Number �O� ���/ <br /> � <br /> /�j ,��,�- i ,�/ <br /> Fee Simple Titieholder Address Q�////����������"'e ���C�C� /(�s�� /a�{ �� � /��$ � �7�� 'i <br /> JOB ADDRESS �%%�v��D LOT# �/� <br /> � <br /> SUBDIVISION �i/u:�D � �JN�� PARCEL ID# °�Y���������� r�3�G� , I� <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) �i <br /> WORK PROPOSED e NEW CONSTR B ADp/ALT � SIGN Q Q DEMOLISH � <br /> INSTALL AIR <br /> PROPOSED USE � ,SFR Q CO�M 0 OTHER <br /> Tl'PE OF CONSTRUCTIOId Q BLOCK � RAM 0 STEEL Q <br /> DESCRIPTION OF WORK �����e J`}�ZPS �d� I�� S��/�C�o�pJj� � �'fA'�(,G�C`I�.- <br /> � <br /> BUILDING SIZE �T X ��"' SQ FOOTAGE ��� HEIGHT ����' <br /> �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> 0� <br /> [�ELECTRICAL $ �� AMP SE VICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> / �""� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS ���� FLOOD ZONE AREA QYES NO <br /> � <br /> i <br /> BUILDER -„I� � � � `COMPANY ��I•GOGCJNE/2 <br /> SIGNATURE ��^�u� REGISTERED Y/ N FEE CURRE� Y/N <br /> I Address 5��/�i.�ffi��° _ �%�> License# <br /> ELECTRICIAN � � � COMPANY ����0���� <br /> SIGRIATURE REGISTERED Y I N FEE CURRE� Y/N <br /> � i <br /> Address � /�%���,JP• ��'�� U/{��� License# <br /> PLUMBER COMPANY <br /> SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGRlATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wotking days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit�for subdivisions/large projects <br /> COfi�'7AAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUtfes&1 dumpster.Site Work Permit�for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`•PROPERTY SURVEY required for all NEW co�sVuction. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> !f over 52500,a Motice of Commencement Is required. (AIC i pgrades over E7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)wiuld be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING _ (Front,of,Application Only�), - <br /> Reroofs if shingles Sewers ,• -Service Upgrades �A/C `, Fehces(Plot/Survey/Footage) � '' , , � � <br /> Driveways-Not over Counter if on public roadways..needs:ROW �� , '� ,' , . � <br /> ` <br />