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o��-.o�,�v Gity of Zephyrhilis Permit Appiication Fax-843-780-0021 <br /> Suilding Depar#ment <br /> date Recetved '�.��r-�� Phone Gontaat for Permittin O�3 �3� - s�'�'d <br /> Owner's Name ��W�+� ����N Owner Phane Number ��� �?����02Y� <br /> Owner's Address •���� D ��4 ��`�° Owner Phone Number <br /> Fee Simpte Tftioholder Name � � Owner Phone Number �— <br /> Fee Simpte TitFefiaider Address <br /> JOB AQpRESS ��� ��� d`9��� �OT# �a �. �3 <br /> SUBDIVISION �— � PARCEL ID# ��""�V"a7 t� '"���� °'� �������� <br /> {OBTAINED FROM PROpERIY TAX NQTlCE� <br /> WORK PROFt?SED e NEW CONSTR 8 ADDiA1.T [� S1G�1 Q [� DEMOLISH <br /> INSTALL REPAtR <br /> PROPOSED USE Q SFR Q COMM �] OTHER <br /> TYPE OF CONSTRUCTiON Q BLQCK [� FRAME 0 STEEL [� <br /> DE8CRIPTION OF WORK /1�0� �30P�'2 'S�rn ,�S �i1i�� �ut-�"--�r/f+ ��7°}�L./�'"�j�'ril+Lt-S ��d,� a� <br /> BUILDING S12f � � SQ FOOTAGE ��� HEIGHT {�� <br /> QBUIIDlNG �+ � Q��� VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL (9i � AMP SERVECE Q PROGRESS ENERGY [� W.R.E.C. <br /> � <br /> [�PLUMBING �—� �, f� � � .2,/� <br /> v / <br /> OMECHANICAL $ VAl.UA7lON OF MECHANICAL INSTAl.LRTIQN 2'��r'�� � <br /> � �j��� <br /> QGAS ,� ROOFING Q SPECIALTY � OTHER 4J�� <br /> FINtSHED F�QCtR ELEVATtONS FLOOD ZONE AREA QYES NO � �`�" <br /> "l' <br /> BUI�DER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# � ��� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE , ,, REGiSr�RED Y/ N FEE CURRE� Y/N <br /> Address �icense# �` � <br /> PLUMBER � ` � Ct}MPANY <br /> SIGIVATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Addrass License# �— --� <br /> MECHANICAL L� CbMPANY { <br /> SIGNATURE _ a�G�sT�R�D Y! N FEE CURRE� Y/td <br /> Address � License# �� —� <br /> OTHER '�� �COMPANY Y�""t�P�+L �OQWd'l c �w/ L <br /> SIGNATURE REGfSTERED Y/ N FEE CURRE� Y/Id. <br /> Address ! � ,�� .� �L 33,� License# �GG G�q 3�(� � <br /> RESIDENTIAL Attach(2)Plot P�ans;(2)sets of Building Plans,(1)set of Energy Fattns;R-Q-W Permft for new canstruc8an, <br /> MiNmum ten(10)working days after submittal date. Requi�ed ons(te,Construction Ptans,Stormwater Pians wJ Sitt Fence instaited, <br /> Sanitary Faclllties&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a life Safety Page;(1)set ot'Energy Forms.R-O-W Permit for new construction. �� <br /> MiNmum ten(10�working days'after subm(ttal date. :Required onsite,Constrtfction Pians,Starmwater Fians w/Siit Fence installed, ` <br /> 5anitary Facilities&�1 dumpster.Site Work Permit for all new proJects.Ail commerciai requitements must meat compliance <br /> SIGN PERMIT Attach{2}sets of Engineered Plans. <br /> ""PROPERTY SURVEY requUed for a!!NEW conshuction. <br /> Directions: <br /> Fill out applicallon campletely. <br /> Owner&Conhactor sign back af applicatfon,notarized <br /> If over S254Q,a Notice af CommencerrseM!s reqaired. (A/C upgradss over ST5d0} <br /> " Agent(far the contractor}or Power af Attomey(for the owner}would be someone with notarized letter fmm owner authorizing same <br /> DVER THE CdUNTER PERMITTING (Front of Application Onty) <br /> Reroofs(f shingles Sewers Servlce Upgrades A/C Fences(PtoUSurvey/Footage) <br /> Drlveways-Not over Counter if an pubitc roadways..needs ROW <br />