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�' si�'�ao-oo2o City of Zephyrhilis Permit Application FaX e�aaaaoo2� <br /> ����� ,n�`� � Building Department <br /> �� <br /> Date...-Reculve� Phone Contact for Permittin — <br /> Owner's Name �m m urv c��, ���f- U��-� ,� Owner Phone Number ��.J ^ � <br /> Owner's Address ��� � v������ � � �H�L� Owner Phone Number � - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address � <br /> JOB ADDRESS !-L� /�� C�'�'f/ � 1� • �`�/��S f�., ��� r,f� LOT# � <br /> SUBDIVISION PARCEL ID# L/�-�� �l �`� aagd� ���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEW CONSTR�ADD/ALT Q SIGN' Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �✓ � Ge��}'/V r b�� � ��7 ONG�/�%S � 7D/II <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT . <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ ��d�� � , VALUATION OF MECHANICAL INSTALLATION <br /> / <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 10.ddress License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHAfdICAL �^��O `���h, - COMPANY ���R S /' �- �'%� �� <br /> SIGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Addres� �� / �l lenl 1� N/B,L..J�'- License# /����� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/iU <br /> Address License# <br /> , <br /> RESIDENTIAI;. �Attach(2).RIot�Plans;(2)sets of:Building Pians;(1)set of-Energy�Forms;R-O-W Permit for new construction, <br /> _ Minimum.ten•(10)working days after.submittai date. Requfred onsite,Construction Plans;Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary Facilities.&1:dumpster Site Work•Pertnit for subdi4islonsAarge projects ' - <br /> COMMERCIAL -Attach(3)aomplete sefs'of Building Plan's plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> SaNtary Facilitles 8 1 dumpster.Site Work Permit for all new project's.All commerciaLrequirements must meet compliance <br /> SIGN PERMIT AttacFi(2)sets of'Engineered-Plans;..; � � - <br /> " ""PROPERTY SURVEY required_for all NEW constructlon. <br /> Directlons: ` <br /> Fill out applicadon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement i�requfred. (AIC upgrades over 57500) <br /> " Agent(for the cantractor)or Power of Attomey(fo�the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER..PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on publfc roadways..needs ROW <br /> . � <br />