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s��-�so-oozo City of Zephyrhjils Permit Application Faz-813780-0021 <br /> � Building Department <br /> Date Recelved Phone Cornacttor Permittin <br /> Owners Name • Owner Phone Number �i2 � 7 <br /> Owner's Address (, �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlaholder Address <br /> JOB ADDRESS LOT# � � <br /> sueorns�oN �VP PARCEL ID# O - - •6 4 D_ D/D -60 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />' WORK PROPOSED e NEW CoNSTR e ADD/ALT Q SIGN Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK /} �/� <br /> BUILDING SIZE SQ FOOTAGE VG-�-� HEIGHT � <br /> Q BUILDING $ �QG, D 6 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I � <br />� QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE r�GiS�aEn Y/N �Cuw�n Y/N <br /> Address Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE aeGls�o Y/N �cur�o� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cis�o Y/ N �e cua�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �cis�r�v Y/N �cuaaEn Y/N <br /> Address License# <br /> OTHER COMPANY ��/ ' T , <br /> SIGNATURE r�cls�Reo Y/ • e cuw�n Y/N <br /> Address � �U/ • % L License# <br /> Illlllllllllllllllillllll 11 11 Illlllllllilllltlllllllllltlllllll <br /> RESIDENTIAL. Attach(2)Plat Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days aftersubmittal date. Required onsRe,ConsWction Plans,Stortnwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertni[for subd'rvisiansllarge projects <br /> COMMERCIAL Attach(3)compiete sets af Building Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnk for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsfte,ConsWction Plans,Stortnxaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work PermR for afl new projects.AII commeraal requirements must meet compliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW�nsWction. <br /> Dlrections:• <br /> Fill out application completely. <br /> Owner&CoMrador sign back of applicatlon,notarized ' <br /> If over§2500,a NoUee of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractar)or Power of Attomey(for the owner)would be someone with noterized letter from owner authorizing same <br /> OVER THE COUNTER PERMITf1NG (Front of Appiication Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />