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8�saao-oo�o City of Zephyrhilis Permit Application Fax-s�aasaooz� <br /> Buitding Department <br /> , <br /> Date Recelvad Phone-Cantact for Rermlttin <br /> Owner's Name�t � Owner Phone Number � �� f �U� <br /> / Y + ! , , ) . <br /> Owner's Address � �/ �� � � �� Vv Owner Phone Number <br /> Fee Simple Titlehalder Name � � 4wner Phone Number � � <br /> Fee Simple Titlehalder Address <br /> J09 ADDRESS �� � • / J~ � V �� LOT# �� <br /> SUBO1ViStON �� � PARCE a�D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK Pt20POSED NEw CONSTR ADD/A� � S1GN CJ C] DEMtJLISH <br /> INSTALL REPAIR <br /> PROPOSED U8E Q SFR � COMNI' Q QTNER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DE$CRIPTION OF WORK <br /> BUILDING SIZE � `� 8Q FOOTAGE HEiGHT C�� � <br /> QBUII.DiNG � � VALUATtON OF TQTAL CONSTRUCTiON <br /> QEl.ECTRICA� ��a-��',.f..� � AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPt�UMBING �>� <br /> QMEGHANICAL �y—� VAE.UATION QF MECHANIGAL INSTALUITION <br /> QGAS Q ROOFING Q SPECt TY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOb ZONE AREA [�YES NO <br /> BUI�DER '"S' ` C�M � <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address L(cense# I � <br /> ElECTRICtAN C�1MPAFtY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � License# � � <br /> PCUMBER Ci�MFA1+IY <br /> SIGNATURE � REG�.�ISTEREp Y/ N FEE CURRE� Y/N <br /> Address License# � �1 <br /> MECHANICAL COMPAl�tY <br /> SIGNATURE RE�ISTERED Y/ N FEE CURREP Y/N <br /> Address License# �� � <br /> OTHER C�AIIPAHY <br /> SIGPIATUR� RE�GISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address � License# �� �i� <br /> RESlDENTU4� A#tach{2)Ptot Plans;(2}sets of Bullding Plans;{1)se of Energy Forms;R O-W Fermlt far new cansUvotion, <br /> Minimum ten(1.Q)woricing days after.submittal date. Ftequired ansite,Construc8on Plans;Starmwater Plans w/Silt Fence installed, <br /> Sanitary FaGllUes&.1.dumpster,Slte Wc�ric•Fennit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3}compiete sets of Bultd3ng Plans pius a life Safety Page;{1}set of Energy Forms.ft-O-W Permit for new constructton. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuct(on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permlt for�all new praJects.All commercial requlrements must meet compilance <br /> StGN PERMIT Attach(2)sets oE Erigineered Ptans. <br /> """'PRQPERTY SUR1/EY required for all NEW cons ctfon. <br /> Dlractlons: <br /> FIII out applicadon completely. <br /> Owner&Contractor slgn back of applicaUon,notarized <br /> if aver�2500,a Natice af Commencement is required. {1�UC up rades over�7500) <br /> '• Agent(for the cantractor)or Pawer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> dVER THE COtlN'FER PERMITTING (Front of Appllcation Only} <br /> Reraofs if shingles Sewers Service Upgrades A/C Fenc s(PIoUSurvey/Foatage) <br /> priveways-Not over Counter if on pubiic roadways..needs ROW <br />