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E — ' - - ` I , s�aaao-oozo City of Zephyrhi�ls Permit Applicatiorr Faic 8'i3-784-dd24 -.-... .- ._. .. _- ._,_„__._...._ Building Department Date Received , . ,phone Contact for Permittin �.� 4 � - � �3 � - ' T[-iTi-ITi-" Owner's Name . PP.. l ._ �X�c� . Owner Phone Number C1 �3" 7g�" � $r3 Owner's Address 3��tt �'��' t�� hf y�S �L• y� Owner Phone Number � � Fee Simpte Titleholder Mame Qwner Phone Number Fee Simple 7itiehoIder Adctress JOBAQDRE3S �� _` !/lCli:-b� �!'. �'� I �i��S rL 33sy3-- LOT# 13 ,(�r, .z-� � -�z / -Or�Sd- dOt��c� --013 d SUBDIVlSldN �� 6� Sh�S �thd PARCEL ID# � � {qBTAINED FROM PROPERTY TAX Np710E) WOF2K PROPOSED e NEW CONSTR 8 ADDlAL7 �v� SIGN Q Q DEMOLISH lNSTA�L REPAfft PRQPOSEq USE 0 SFR Q COMM � OTHER TYPE OF CONSTRUGTION Q BL4GK Q Ff2AME � STEEL Q DESCRIPTION OF WORK �. - J�-oa� S �,N„� � I BUILDING SIZE 3�'�C S�� SQ FOOTAGE �� HEIGHT �� -r�"e-ri-�-s-trrrrrsra�R-rrrr'e-e�a-rrs^rrr'rt-re��r'rtrrrrTrta-t-s-rrrt-r-rt-c-r�'rr'e�e-r'i-t-rrt- QBUILDING $ �� VALUATION OF TOTAL CONSTRUCTION '�ELECTRiCAL � � AMP BERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPWMBING �� ` �� � �p OMEGHANiCAL $ VALUATION OF StiEGHANICAL INSTAI.CATEC7N �SC OGAS Q RdOF1NG Q SPECIAI.'C'Y � OTHER FINISHED FLOOR ELEVATIONS � FL.00D ZONE AREA QYES NQ -i-1-1�-1--i-•i--i-a-I-#-1-1-1-d-1-1-i-�-i--1-f-1-i-F-1--F-E-I-I--i�-i-1--t-1--1�-i-t-�i-�-i--F-i-1--1-k-i-�i-i--f-�I-L-F-i-I--�-I-�-�i-1-i-i-E-i-i-a-d-1- SUILDEI2 �=%L�_lL - ��'�'�`�� GONIPAMY � SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address U� �t j- �i,`�f� � Licertse# �� SIN?-- �LEGTRICtAN GOMPANY SIGNATURE REGISTERED Y I N FEE CURREN Y/N Address License# � � I FI.UMBER COMPAFlY SICyNATURE REGISTER�ED Y 1 N FEE CtSRREN Y I N i Address { License# � � I MEGHANlCAL � � COMPANY s1GNATURE ( REGtSTERED Y 1 N FEE CURREtV Y/N Address I License# �i � � OTHER � � COMPANY SIGNATUC2E REC,ISTERED Y 1 N FEE GURREN Y/N Address I License# �� Iillltli [ IItIlIt [ t1ll [ tt [ IZI1ZllIII [ t [ IIIIIIIIZ [ ti ! llltl [ t [ tllltlI [ RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En�ergy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submitta!date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&�I dumpster;Sife WorK Fermit for subdivisionstlarge projecfs COMMERCIAL Attach(3)complete sets of Building Plans plus a Life SafetylPage;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten{10)working days after submitfa!date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for a11 new projects.AII cammercial requirements musf ineet corapiiance SIGN PERMIT Attach(2)sets of Engineered Plans. """PROPERTY SURVEY required for all NEW construction� .i�i�i-�.i.�ia-R-i�.i-I-i�i�i-i�t-i-i-i�i-i-i-i-' ',�-:-..`�S�(-i�i�i.-i�-i��i�I�.i.�I-i�i�i..4.I-i-i-I�i..i-i-i..i-1..R.i�.i-i-I�i.�7-I-i..1..i..I..i.. Directions: � Fill out application completely. Owner&Contracfor sign back of applicat9an,notarized If over$2500,a Notice of Cammencement ls required. (A/C upgrades over$7500) `" Agent{for the contractor}or Power of AEtomey{for the owrser}would be soineone with notarized letter from awner authodzing same OVER TH6 COUNTER PERMI7°I'ING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) Driveways-Not over Counter if on public roadways..needs ROW � I