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i <br /> �� . s�a-�ao-oozo City of Zephyrhilis Permit Application Fax 81&780-0021 <br /> +� � Bullding Department <br /> Date Recelved y • ��. � �f' phane Contact far Pertnktln �y� 7�7 �� / <br /> Owners Name ��Ufi� S ��G� I Owner Phone Number �27��U f/���U <br /> �a0 �E.�K �. ��� T � 7o f <br /> Owner's Address�__ �� � IV� � PET� �3 p�er Phone Number <br /> Fee Simple TiUehotder Name ' Owner Phone Number <br /> Fee Simple Tltleholder Address � <br /> JOBADDRESS I� / �� C��� �y � � ��� 3%✓� � LOT# � <br /> SUBDIVISION PARCEL ID# I <br /> , (OBTAINED FROM PROPERTYTA7(NOTIC� <br /> WORKPROPOSED B wEWCONmtB ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER v/j-r.y �o�tf /iV <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEI Q <br /> DESCRIP710N OF WORK ��L I /—`" (�� %�� B2.�Pr p 2da���� C�AT/�(O <br />' BUILDING SIZE SQ FOOTAGE��U� � HEIGHT � <br /> QBUILDING $ �cr� fjaCJ %= VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE ' PROGRESS ENERGY W.R.E.C. <br /> 0 $ � � 0 <br /> QPLUMBWG $ I <br /> QMECHANICAL $ VALUATION OF M i CHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �' OTHER �°�'T�W G <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON i AREA QYES NO <br /> � /� p �� <br /> BUILDER `� MPANY n����� f"'��F�� 6 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �e curtrt�n Y/N <br /> Address License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNAILRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRET Y/N <br /> Addresa License# <br /> 1111111111111111111111t1111111t11111i1111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Fortns;R-O-W Pertnft for new conslruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Slortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit far subdivisfons/large proJects <br /> COMMERCIAL Attach(2)complete sets of Bulding Plans plus a Life Satety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Mlnimum ten(10)woricing days after submittal date. Requfred onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanftary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commarcial requiremenls must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> •••'PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • • . . • . . . . . . . . . . . . . . <br /> Directions: i <br /> Fill out application complelely. <br /> Owner&Contrador sign badc oi application,notarized <br /> If over 52500,a Notice of Commencement Ia requlred. (AIC upgrades over 57500) <br /> " Agent(tor the contractor)or Power of Attomey(for the owner)would be someone with natarized letler from owner authorizing same <br /> OVER THE COUN7'ER PERMITiiNG (copy of conVact required) <br /> i <br /> Reroofs if shingles Sewers Service Upgradas A/C Fences(PIoUSurvey/Footage) <br /> DNveways-Not over Counter if an puMic roadways..needs ROW � <br /> I <br /> � <br />