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� � is - i�o - �oz� <br /> e��-�eo-oo2o City of Zephyrhilis Permit Applicadon Fa�e��-�eo�ooz� <br /> : Bullding Departrnent <br /> �, I <br />� � �^ � Dab Ree�Md -L 3� �� ' Phone CorMect tor Pirmtttln �J d1 —���2- <br /> � ( /� <br /> � 1 ' �.S I- �3 �-Y+t3 <br /> I p�yn�rs Nam� 1 1-1'v ( � Owner Phone Numb�r <br /> Owmrs/Yddnss �a P��.K�e•�--s� I Owner Phone Numb�r <br /> FN Slmple Tftleholde Nune u � � I Owner Phone Num6er <br /> I <br /> Fw SImpM 7Wehold� Address I <br /> JOB ADDRE38 S�� a' �t'��1��--S� I LOT 8 � <br /> SUBDM810N �VC3 � Pel —S PARCEL IQM 2-'2�"�'`'�a�0���� �Q �� � <br /> (OB'iA1Nm FROY PROPFJtIYTAX NOTIC� <br /> WORK PROP08ED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q <br /> DE3CRIPTION OF W RK r� I C ��� �•�- �•5 �� ��{S i'�'�Ls� �' <br /> BUILDINO SIZE SQ FOOTAOE� HEIOHT � <br /> QBUILDING S VALUATION OF 70TAL CONSTRUCTION <br /> QELECTRIC S AMP SER1/ICE Q PROORESS ENERGY Q W.RE.C. <br /> OPLUMBING S <br /> �MECHANIC l E VALUATION OF MECHANICAL INSTALLATION � ����� <br /> �'� � <br /> QOAS Q ROOFINO Q SPECIALTY Q OTHER ��� <br /> FINISHED FLOOR EL AT10NS FLOOD ZONE AREA QYES NO /�1O('J <br /> �v <br /> I <br /> BUILDER COMPANY <br /> 91GPUiURE REGISTERED Y/N �cutt�n Y/N <br /> ndar.0 � u�se# <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N �ECUaaB� Y/N <br /> /yldnss I Lieense# <br /> � <br /> PLUMBER COMPANY <br /> gIpNATURE r�oisrei�n Y/ N �cuaaa� Y/N <br /> Addnas � Llcense# <br /> MECHANICAL COMP� �� ��N�G�'S <br /> g�pM�►TllRE REGISTERm Y/ N �cuaaer� Y/N <br /> �ear� ��u a�Cv c�.�e�- �lv� I u��a CflC►� / (a�' 1 <br /> I <br /> onieR. coMP�wr <br /> SIGNATURE aecisr�o Y/N �cuw�n Y/N <br /> Addras I LJcenae# � <br /> rr� n�r r r ���-r_�.�.�_�.�_�._rrn-rrrrrrrri riT� n rrrrrrri rr�� rr�rrrrrrn �i��r� <br /> RESIDENTIAL eh(2)Plot Plarre;(2)seta of Bullding Plana;(1)aet of Ene�gy Fortns;R-O�W PermR for new construetlon, <br /> Inlmum ten(10)worMnB deye efter submittel date. Requlred onske,Conatruetlon Plena,Stormwater Plans w/Slit Fence Inatailed, <br /> Hery FedlWea 61 dumpater,Site Work Pertntt for eubdhiielonalterge proJede <br /> COMAAERCIAL (3)camplete seffi oi Bullding Plans plua a Llfa Sefety�Pege;(1)aet of Energy Forms.R-O�W Pertntt tor new consWdlon. <br /> Inimum ten(10)Mroddng days aRer aubmittal dete. Required onsite,Constructlai Plens,Stormwater Plans w/Silt Fence Installed, <br /> Mery Fedlftlea 31 dumpstaz.Site Work Pertnkior all new projects.All commerdai requirements must meet compliance <br /> SION PERMR eh(2)setn of Engineered Plens. <br /> PROPERIY SURVEY roquired for atl NEW conaWdlan. <br /> Dinatloas: <br /> Fllloutapplicetl comptetaly. <br /> Owner 3 Con dor eign badc of eppllcetlon,naterized <br /> M over i2500, NoUw oi Commeneemert Is nquirod. (NC upgrodesl ov�r i7500) <br /> " Agent(ior the tractor)or Power oi Attnmey(tor the owner)woutd be someone with notarized letter trom owner authoribng same <br /> OVER THE COU R PERMIITINO (Front of Appllcetlon Oniy) <br /> ReroofB H ehfngles Sewers Servlee Upgrades A/C Feneea(Plo Survey/Foofage) <br /> DNveways-Na over CouMer If on publle roadways..needs ROW <br />