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a��-�saoozo City of Zephyrhilis Permit Application Fax$���so-ao2� '� <br /> Building Depertrnent <br /> Date Received phone Contaet for PertniUi <br /> Owners Name \1 r `{ Owner Phone Number I � <br /> Owners Address ` Owner Phone Number <br /> Fee Simple Titiehotder Name Owner Phone Number <br /> I Fee Simple Titleholder Addresa <br /> JOB ADDRE G� lJ {� I�J �j <br /> SS � Y 6 1 V ��-?�f 4 L�T� � <br /> SUBDIVISION PARCEL IDq <br /> (OBTAINED FROM PROPERiYTAX NO7ICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q bEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCWPTION OF WORK �D V � I <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ n VALUATION OF TOTAL CONSTRUCTION <br /> .` <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �`�`�f� <br /> �/ <br /> OMECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION <br /> QGAS " ,� ROOFING Q SPECIALN � OTHER <br /> FINISHED FLOOR ELEVA710NS FLOOD ZONE AREA QYES NO <br /> ` <br /> BUILDER OMPANY <br /> SIGNATURE RECisTErten Y/N FEECURREt+ Y!N <br /> Addreas � Y � J License# <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE ttE�isrvten Y/N rgcuwta Y!N <br /> Addresa LJcense t � <br /> PLUMBER � COMPANY <br /> SIGNATURE r�cisrEaEU Y!N �cuwt� Y/N <br /> Address License B <br /> MECHANICAL COMPANY <br /> SIGNATURE r��tsrertEO Y/N �cuRtt�t+ Y/N <br /> Address License� <br /> OTHER COMPANY <br /> SIGNATURE r�ctsr� Y/ N �cuwtEd Y/N <br /> Address License� <br /> 1111111111111111t111111111111111111111111111111111111111111111111tt <br /> RESIDENTIAI. Attach(2)Plot Pians;(2)sets of Buiiding Plans;(7)set of Energy Fortns;R-O-W Pertnit for new conshuctlon, <br /> Minimum ten(10)worlting days after submitfal date. Required onsite,CansWcUon Plans,Stortnwater Pians w/S1t Fence instalied, <br />' Sanitary Fadlities&1 dumpster;Ske Work Pertnk for subdivisionsllarge ptojects <br /> COMMERCIAL Attech(3)complete sets of Building Plans pius e life Safety Page;(1)set of Energy Fortns.R-0.W Pertnit(or new construction. <br /> Minimum ten(10)Nodcing days after subm(Mal date. Requlred onsfte,ConsWcdon P►ans,Stomrvvater Plans w/Silt Fence insfelled, <br /> Sanita�y Fadlides 81 dumpstec Site Wak Pemtit for all new pmjects.Aii commert9al�equiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdlan. <br /> D1raeUons:• <br /> Fiil out appiication completely. <br /> Ovmer 8 Contractor sign badc of applicadon,notsrized <br /> If over;2609,a Notice of Commeneement is requlred. (AIC upgrades over 57500) <br /> " Agent(for tlie contractor)or Power of Atlomey(tor the owner)would be someone with noteraed letter from owner authormnp same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs H shingies Sewers Service Upgtades A!C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Caunter if on pubiic roaduvays..needs ROW <br />