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a�s-�aaoaao City of Zephyrhilis Permit Appiication Fax-s��-�saaa2� <br /> . - BuHding Deparlment <br /> Date Recelved Pfione Contact for Parmittin — <br /> Owner's Name �� � j Owner Phone Number � "���49�J <br /> Owner's Address 7i"' ! Owner Phone Number ��` <br /> Fee Simple 71tlgholder Name Qwne�Phone Numher � � <br /> Fee Stmple Titlehoider Address <br /> JOB ADDRESS �pT# � <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK RRdPOSED , e NEW CONSTR 8 ADD/ALT �� SIGN Q C] DEMOLISH <br /> tNSTALl. REPAIR <br /> PROPQSEQ USE [� SFR Q COMM [,� OTHEF2 <br /> TYPE OF CONSTRUCTtON Q BLQCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK "1 ` 6G � � �. Qtk l 3%. �1J <br /> BUILDING SIZE r� � SQ FQOTAGE[�� HEIGHT C�� <br /> �$u����N� $ VALUATION QF TOTAL CONSTRUGTION <br /> ��__� <br /> QElECTRICA� ($ � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> [�PLUMBIt�G �;� � <br /> MECHANlCAL $ VA�UATlON OF MECHANICAI IIVSTAtLATIt}N <br /> • Q cJ <br /> QGAS [� RQOFING Q SPECIAI.TY [� OTHEi2 <br /> FINISHED FLQOR ELEVATIONS �� F�OOD ZONE AREA QYES NO <br /> BUILQER CBMPANY <br /> SIGNATURe REGiSTERED Y I N FEE GURREt� Y/N <br /> Address License# �� � <br /> EI.ECTRICtAN COMPANY <br /> SIGNATURE REGfS7ERED Y t N FEE CURREF Y/N <br /> Address License# �� �i� <br /> Pi.UMBER � COMPANY <br /> SIGNATURE REGI3SERED Y� N FEE GURRfR Y l N <br /> Address Ircense# � � <br /> SIG AT�URE r�� r " \�' � <br /> ` cot��at+nr �r'�e.tz o�.t� a i�. �C <br /> � REGISTERED Y/ N FEE GURREf� Y/IV <br /> Address License# ��'.i�C 1 $\"�$,(p(d � <br /> OTHER � CpNJp1WY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y t N <br /> ' Address Llcense# �� � <br /> RESIdENTIAL Attach{2)Plot Plans;(2)sets of Build3ng Plans;(1)set of Energy Forms;R t7-W Permit for new canstrucUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucBon Pians,Stormwater Plans w/Slit Fence tnstalled, <br /> Sa�itary Facilities&1 dumpster,Site,Work Permit for subdivisionsilarge projects " <br /> COMfHERCIAL A4tach(3)complete sets of Buildfng Plans plas a Life Safety Page;(1}set of Energy Farms.R-O W PeRnit for new canstruction. <br /> Minimum ten(10)worlcing days a1'ter submittal date. Required onstte,Construction Plans,Stormwater Plans w!Silt Fence InstaAed, <br /> Sanifary Facfli#ies 81 dumpster.Site Work Permit for atl new projects.All commercial requirements must meet compliance <br /> SlGM PERMIT Attach(2)sets of Englneered Plans, <br /> ••""PROPERTY SURVEY required for all NEW consUucdon. <br /> Directlon�: <br /> Fill out applicaUon campletely. <br /> Qwner&Contractor sign back of appl(caHon,notarized <br /> if over 52500,a Nottce af Cammencement is.reguired,_;(AlC upgrades ovar b754d) <br /> " Agen#{for#he contractot)or Power of Attomey(tor the awnar)would be someone with no#arized letker fram owner authorizing same <br /> DVER TNE COUNTER PERM1T11NG� {Front of;Application 4nly); <br /> Reroofs if shingles Sewers ServPce Upgrades A!C Fences(PlotlSurvey/Foatage) <br /> Driveways-Not over Gounter 1f an public roadways..�eeds ROW <br />