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., � <br /> e»-�saoozo City of Zephyrhilis Permit Application Fax-e�saeaoo2� <br /> Building Department <br /> � � <br /> Date Received Phone Contact for Pertnitting ��— /� � � Z�� <br /> Owners Name V Owner Phone Number ��y <br /> Owners Address j �� Owner Phone Number <br /> Fee Simple Titleholde►Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS Wv R ' LOT# � <br /> SUBDIVISION 1 ( W�lJ V PARCEL ID# � •21V —Z �O!� �O <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW cONsfR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPl10N OF WORK G U � Z C <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ ��]Q� VALUATION OF TOTAL CONSTRUCTION <br /> _� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ' ^�%� � <br /> .� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ��j(,(/` <br /> `� C� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL / � COMPANY ` � �(/�-L� S• <br /> SIGNATURE ��` REGISTERED Y N FEE CURRE� Y/N <br /> Address � � �L- � License# `� v <br /> a�bt <br /> OTHER ( COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIII <br /> RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construdion, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construc6on Plans,Startnwater Plans w/Silt Fence installed, <br /> - Sanitary Faalities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW consWclion. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />