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s�saso-oazo City of Zephyrhilis Permit Appiication �aX-a��aao-oa2� <br /> � ` • Buiiding Deparfment <br /> Date Recefvec! phone Contact for Permitting <br /> Qwns�'s Name G�� �a aQ t Qwner Phone Number <br /> Owner's Address Owner Phon�Number � � <br /> Fee Simpio TitleMaider Name � � Owner Phone Number � � <br /> Fee Simpte Titlafialder Address <br /> � �JOB ADDRESS t �1- (� C t ����. �.,� 'E- (cz C� Ce( Z.a.or# <br /> SUBDIYISION � � PARCEL{D# <br /> (OBTAINED FROM PROPERTY TAX NOTlCE) <br /> WORK PROPOSED , e NEW CONSTR[�DD/ALT Q SIGN CJ C] bEMOLISH <br /> iNSTAIL Q REPAiR <br /> PROP4SED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTiON Q BLOCK Q FFtAME � STEEL Q <br /> DESCRIPTION OF Wl?RK '�—�k���r '"� .-Z r � ,�� <br /> BUILDING SIZE SQ FOOTAGE�_�� HEIGHT <br /> QBUILDtNG � � � VALUATlON OF TQTAL CQNSTRUCTIQN <br /> LECTR1CAt $ AMP SERVICE�'pv ��pROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING � .r� � „n <br /> � j � yrr <br /> G� � i <br /> OMECkANIGAt $ VAE.UATION OF MECHANICAL INSTALtATION <br /> OGAS � ROOFING Q BPECIALTY Q OTHER � <br /> FINISNEQ FLOOR ECEVATtONS FL.00D ZONE AREA [�YES NO �(}" <br /> BUILDER GOMPANY <br /> StGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address License# ( �� <br /> .._. . j <br /> ELECTRiC1AN ����� „f' „� COMPANY "{—(c/� � C.(�"�,S S .�,I�'C..- �c C. <br /> SIGNATURE �.. I � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ./� � Ucense# �--�-'"'�Q � 2+5~�� <br /> PLUMFIER COMPANY <br /> SIGNA'TURE REGlSTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � � <br /> MECH/WtCAt, COMPANY <br /> SIGNATURE REGlSTERED Y I N FEE CURREt� Y I N <br /> Address License# �� '� <br /> OTHER GOMPANY <br /> SlGNATURE �c�S7e�t�Q Y 1 N ��cU�tRSr� Y i N <br /> Address .� License# � � <br /> RESIDENTIAL Attach(Z}Plot Plans;{2}sets of Butlding Pians;(1}set of Energy Forms;R-O-W Perrnit for new construction, <br /> Minimum ten(1Q)worCting days after submlttal date. Requfred onslte,ConsUuct�on Plans.Stormwater Flans w!Slit Fence Ins#alied, <br /> Sa�itary FaciliHes&1 dumpster,Site Work Pertnit for suddivislonsAarge proJects , <br /> COMMERC4AL Attach(3}comptete sets of Sultding Ptans plus a life Safety Page;('I)set of Energy Forms.R-0-W Permit for new constructlon. <br /> Nltnimum ten{10)wortcing days after subrnfttat date. Required onslte,ConstrucUon Plans,Stormwater Plans wi Siit Fence tnstaited, <br /> Sanitary Facilities&1 dumpster.Site Wotic Permit for all new praJects.All commercial requirements must meet compilance <br /> SiGN PERMi7 Attarfi(2}sets of Engineered Pians. <br /> '•`"PROPERTY SURVEY requ�red for ail NEW consirucflon. <br /> Directlons: <br /> Fiil oat appllcatfon campietely. <br /> Owner&Contractor sign back of applicallon,notarized <br /> 1#over S�'500,a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> " Agent(fpr the contraotor)or Power of Attomey(for the owner)would be someone with notarized lekter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reraofs if shingies 8ewers Service Upgrades A/C Fences(P1atlSurvsylFoo#age) <br /> D�Iveways-Not over Counter if on public roadways..needs ROW <br />