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s�s-�so-oaaa City of Zephyrhiils Permit Applica#ion �ax-sis-�so-oa2i r <br /> Building Departmen� <br /> '�_ __._.____�_..� <br /> Date€teceived �d -�''� phone Contact for Permitting vZ V �tti, - l o� <br /> `n x y r <br /> Owner's Name � ��I`- <<�+I��C� Owner Phone Number � � ���`� (°-�� <br /> Owner's Address �v �� ''��/".�r��'�'� °��" Oterner Phone Number � � <br /> � � � � � <br /> Fee Simple Titleholder Name Qwner phone Numbei' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V `.I "L �*' ��7�t�� �r� K. ���I�tf 1+�'�� LOT# l t <br /> SUBDIVISIQN �,11r') �'��l '��I R-- " j r PARGEL ID# "="z-'� �'����"'���7� "� �`�'�/��"� I�� � <br /> � (OpTAINED FROM PROPERTY TAX NOTICE) ,i� <br /> WoRK PROPOSED e r�ew caNSr�8 A�DIAL.T � S3GN 0 0 DEMOLis!-i <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CO(ViM 0 TNER <br /> TYPE OF COIVSTRUCTION [�] BLOCK RAME � STEEL C] <br /> DESCRIPTION OF WORK �-� /`L <br /> BUILdiNG SI2E � � SQ FC}C}TAGE !� � HEiG}iT __,I� � <br /> �BU�ZDiNG � �`/C�� VAE.UATiON OF TC3TAL CONSTRUCTION <br /> p f <br /> �E�EGTRI�AL ��� AMP SERVICE � PROGRESS ENERGY � W.R.EG. <br /> �P�.U�rSBIN� $ , � � f <br /> � � �Gti� <br /> �MEGHANICAL $ VAI.UATION OF MEGHANlGAL INSl'ALlAilON � <br /> ��,/1 <br /> �GAS � ROOFING Q SPEC3AE.TY � O7HER ���"�F"�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �� f���J V <br /> ' . � . <br /> _,,,.� � �A (� �/ <br /> BU!l�DER ����' n� ����'t� ��4✓ � �CCiMFANY .�aL� �.C�t1 f�t�.� ��j�1t7�/��lt��✓��1 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> _ _ _ _ _ _ _ _ _.. _ <br /> Address ��f I I� �� ����. ����� l�� h�����T�'"License# �1.,i��l�+Z_�"t' +U f� � ^ <br /> ELEC3'RICtAi3 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �� � <br /> PLUiVfBER CtJNii'ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- ^�� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> 4THEi2 COMPAI�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L.icense# T� <br /> RESIDENTtAL A#tach{2}Plat Plans;{2}sets of Bu3ldtng Plans;{1}set af Energy Forms;R-C7-W Fermit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conskruction Pians,Stormwater Plans w!Silk Fence installed, <br /> Sanitary Facili#ies&1 dumpster;Site Work Permit for subdivisions/large projects <br /> GCIMMERCIAL Attach{3}complete sets af Building Plans pius a Li#e Safety Pags;(9}se#of Energy Forms.R-O-W 3'ermi#far new constructian. <br /> Minimum ten(10)working days after submitta�date. F2equired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> 8anitary Facilitfes&1 dumpster.Sike Work Permit for all new projects.All cammercial requirements must meet compliance <br /> SEGN PERMIT Atfach{2�sets of Engineered Plans. <br /> `"*"PROPERTY SURVEY required far all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owne�&Contractor sign back of application>notarized • <br /> tf over$250U,a Ftofice aE Gommencement is required. (AJC upgrades over$7504} <br /> "" Agent(for the contractor)or Power oP Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER 3HE COUNTER PERMtTTING � {Frant of Appiicat4on Oniy} � � - � � - ` <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foofage)` , - � -� <br /> Driveways-Ndt aver Counter if on public roadways..needs ROW � ` <br />