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8�3-�ao-oo2o City af Zephyrhilis Permit Appllcation � F�X a�3aaaoQz� <br /> "' � ' Building Departmant <br /> Y, ' ' <br /> Date R�ceived --�— -- phane Contact'for P�rmlttln <br /> Owner's Name �-�--- � 'L" Owner Phone Number "c��{p'' ,J <br /> Owner s Addres� C � t3wnerPhone Number ,! Z) J <br /> .���.� <br /> Fee Simple Tltleholder Name �' � �''t�' Ownsr Phone Number � � � <br /> Fee Simple Titlehaldec Address � ' � <br /> JOB AI�DRESS I O � � �- LOT# �_c�� <br /> SUBDiVIS10N �%Yn-C�i`�.� d'��%�� PARCEL�IQ# - <br /> (8B7AINED FROM PROPERTY tAX NOTICE) <br /> WQRK PROFC?SED ' NEW CONSTR ADD/ALT � SIGN� Q [� DEMOLISH <br /> e lNSTAtL 8 REPAIR <br /> PROPOSED•USE Q SFR [� COMM � OTHER <br /> TYPE OF GONSTRUCTlON Q BI.00K ' Q ERAME Q BTEEL � �'" <br /> DESCRIPTION OF WORK �C�.,S �' {V � <br /> BUItDIPIG StZE d �l� � SQ fQOTAGE 0� HEIGHT . f r 1 rt � <br /> �BUILQING $ VALUATION��1F TQTAL CONSTRUCTION <br /> I��� <br /> QELECTRIGAL (95 � ANtP SEF2VlCE � PRt1GRESS ENERGY Q W.R.E.C. <br /> �. � <br /> [�]PLUMBlNG $ � (J � ��1 �� � <br /> , l,.J � <br /> QMECHANICAL $ ' VALUATtON OF MECMAN{CAL I�lSTALLATIOfV �`' � � <br /> � ��` , �f <br /> [�GAS Q ROOFING CJ SPECIAITY C] OTHER l�'"'� ` ��� <br /> FINISHED FLOOR E4EVATIONS FLt�OQ ZQNE RFtEA QYES NO - ���� <br /> � � <br /> ��� /� � �,,� <br /> BUlLDER ���� �COMPANIt '��G�,Nj 1 <br /> SIGNA7URE / ��iSTE�tEn Y/ N FEE GURRER Y/N <br /> Address License# ( � <br /> El.EG7RlCIAN COMPANY <br /> SIGNATURE �" REGISTERED Y/ N FEH GURRER Y!N <br /> Address �License# ( � I <br /> PLUMBER COMPANY <br /> SIGNATURE REGI37ERED Y/ N FEE CURRE� Y!N <br /> Address Ucanse# � � <br /> MECHANICAC, COMPANY <br /> SIGNATURE REGI$7ERED �. Y,/ N FEE CURRE� Y/N: • <br /> Asldre�s l.icanse# � � <br /> OTHER COMPANY <br /> Si�3NATURE ' REGISTERED Y/ N . F.EE CURRE� Y/,N• <br /> Addfoss Lic:enSe# � � <br /> �,, . . <br /> RESIDENTIAI: Attach(2),Rlot Plans;(2)sets:of�Buildi'ng,`Plans;{1a set of Energy=Foims;.R-O-W Perri%It for nev+w,construcfion, I <br /> Minimum�.ten:(1,0);worlting;days,after submlthat date.�.Requlred onsite,Canstruo8an Plans;Stormwate�Plans w/Silt Fence installed, <br /> Sanitary Ea�iftles&..1.,clumpster.,,Site°Wotic�Fermft far'sutidivisEonsilarge qroJects --`..-" .__ <br /> COMMERCIAI. Attach(3)'complete sets af Bulltling Pla�ris�plus a L[fe Safety Page�(1)set ot Energy Forms.R O-W Permit t'or new construction. <br /> Mtnimum ten(10)working days after submittal date. Requlred onsite,Canstructfon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FadtiNes&1 dumpster._Site Woric Permit for aR n�w'prajects.AIi cammerciai requirements must meef campilance <br /> SIGN PERMIT Attacti'(2)"sets of Engineer,ed�Rlans.;,:; �-- " <br /> """PROPERTY SURVEY requfreri for:all NEW cansUuctlon. <br /> Directlons: <br /> Fill out epplicatlon completely. <br /> dwner&Cantractar sign baok of applicadon,notarized _ <br /> tf over E2504.a Notica af Commencement t�requtred. {A!C up�rades c�ver�7500} . <br /> '• Agent(for the cantiactor)or Pbviier of Attomey(for the owner).woutd be sarr�eone with not�rized letter from owner authorizing�same � "�_. <br /> DYER THE COUNTERPERMITfiNG . {Frontaf Appilca�an.Oniy} . �., " .. , , ` _ , <br /> Reroofs if shingles Sewers S'ervice Upgrades A/C ` Fences{Plot/S.urvey/Footage) • � <br /> � i _ _ _ �. - .,. , . <br /> Driveways-Not over Counter if an public roa+dways..need�-RQW_: '.. .. .. <br />