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� <br /> � ti13-780-0020 Gity of Zephyrhilis Pe�it�Application Fax-013-780-0021 <br /> Buiicfin9 Depanment� <br /> Dale Recelved �i � � �a 9 _ q�3 �%� <br /> Phone Contact(or Pertnittlnq <br /> � � � �'� t-� � � � i/yi�� <br /> OwneNs Name "ZTwne��mber � � �G� <br /> � <br /> OwneNs Address !? • Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple T1Ueholder Address <br /> JOB ADDRESS OO � ,�/�Q/Ia Z �I(S FL' 7�L LOT 8 � <br /> sueoroisioN PARCEL ID� Q'2'Z 6'2 I-d 0�U-QQ/00-D 0// <br /> �OBTAINEO FROM PROPERiY TAX NOTIC� <br /> WORKPROPOSED NEtivCONSTR ADDIALT � SSGN Q Q DEMOLISH <br /> INSi'ALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> ` t � <br /> DESCRIPTION OF WORK � IS /��� <br /> 7 <br /> BUILDING SIZE SO FOO7AGE SOv HEIGHT � <br /> OBUILDING � S - C�"Y� +7 BALUATION OF TOTAL CONSTRUCTION <br /> �V <br /> QELECTRICAL � ' AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � �/� <br /> QMECHANICAL � VALUATION OF MECHANICALlNS7AlLATION �` � ��/ � <br /> QGAS � ROOFING Q SPEClALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS " FLO�D ZONE �YES NO <br /> / � <br /> BUILDER CAMPANY � �� M��s <br /> SIGNATURE R'eG;STEREa Y 1 N FEE CURRE� Y!N <br /> Address �v �� " `s � ��t •���� License it CC D� �y <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE REG!S7ERED Y 1 N FEE CURREA Y!N <br /> Address License;! <br /> PLUMBER COMPANY <br /> SIGNATURE REGtSTERED Y/N F�cuaRen Y/N <br /> Address Ltcense!/ <br /> A7ECHANICAL COMPANY <br /> SIGNATURE REGiSTEREU Y/N �e cuwa�n Y/N <br /> Address License R <br /> DTHER COMPANY <br /> SIGNATURE R�GtSTERED YI N FEECURRf� Y!N <br /> Address License N <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 I 1 1 I t 1 1�1 1 1 1 1.1 1 1 1 I 1 1 1 1 t 1 1 1 t 1 1 1 1 ! l 1 1 1 1 1 1 1 1 1 1 1 1 � 1 1 <br /> RESiDENTIAL Attach(2j Plal Pians;{2)sets of Building Plans:(1)sei o(Energy Forms;R-O-W Permit For new construc6or.. <br /> Minimum len(i0)working days after submitlal date. Required onsite,Cortsvuction Pians,Stormxater Ptans w/S1t Fence inslalled, <br /> Sanitary FaciliGes&1 dumpster;Site Work Permit for subtlivisionsParge projects <br /> COMMERCIAL Attech(2)cemplete sets of Building Plans p!us a Life Safery Page;(i)set o(Energy Forms.R-O-W Pertnd(or new wnswction. <br /> Minimwn ten{10)worhing days afler submittei date. Required�nsite,Construcfion Ptans,Stormvrater Plans w!Siit Fence inslalled, <br /> Sanilary Fadtities&1 dumpster.S(le Work Permit for all new projects.All commeroial requirements must meel compfiance <br /> SIGN PERMIT Attach(2)set�af Engineered Plans. <br /> ""PROPERTY SURVEY requiretl(or a9 NEW constructian, <br /> DirecUons:• <br /> Fi11 oul appficaQon completNy. <br /> Ovmer&Conuactor stgn back ot applicaGon,notari�ed <br /> If over 52500,a Notice o1 Commencement is requlred. (A/C upgrades over 57500) <br /> " Aqent(tor Ihe contractor)or Pov,2r of Attomey(for ihe dwnery ovould be someone with notarized leiter from owner authorving same <br /> OVER THE COUNTER PEHMITTING (copy of conlraG required) <br /> Reroofs i(shirigles Sewers Service Upgrades PJC Fences(PIoUSurveyirootage) <br /> Drtveways-Not over Counte�i(on public road�vays..needs ROW <br />