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i , <br /> ' Fa%�13-780-0021 , <br /> , City of Zephyrhilis Permit APP�ication <br /> ' g13-78D-0020 guilding�ePe�merd <br /> Phona Contaci far Permlpinp ' <br /> Date Received �^ � — e e t 7 � , <br /> � � � � ! 1 � � ` pymer Phone Number <br /> Ownet's Name � <br /> � � �+a� � �'�. Owrter Phone Num6er <br /> OwnoTs A.ddress <br /> ptimer Phone Number <br /> Fee SlmpSe Tidehotdor Name <br /> � Fco Simple Titleholdcr A+ldress �— � <br /> � � O n LOT S �-��—� <br /> l. <br /> JOB ADDRESS � ^ � i �� �. 2 �� <br /> PARCELID� <br /> SU6DlVISION (p87ASNm FRW3 PROPERTY7A7(NDT�L�} <br /> A00lALT 0 S1GN Q � DEMOLISH <br /> WORH PROPOSED e NEW CONSTR� REPAIR <br /> INSTALL OTHER <br /> pROPOSED USE Q SFR ❑ COMM � . <br /> TYPE OF COHSTRlfC71ON � BLOCK Q FRAAIE �� STEEI � <br /> ` � r ti j{�a VvS <br /> oescwPno�oF woRK �� r <br /> BUILDING ZE. <br /> SQFOOTAGE� HEiGHT C� <br />� BUILDING S � VALUATIONOFTOTAI.GONS7RUCT�ON <br /> ' PROGRESSENERGY Q W�R.E_C. � <br /> QEIECTRICAI. 5 AMP SERVICE � <br /> � Z S�( �1C�ibs�' / <br /> OpLUMBING S � �� �n,1 ��K _ _ .�. [� <br /> �MECHANICHL 5 <br /> VALUATION OF MECtif+NlCAI IPSSTA�lATION • ( 6'�/�' �%�� <br /> OGAS I� <br /> ROOFiNG Q SPE6IAUY � OTHER � ���. j/, [ <br /> FINISHED FLOOR ElEVATIONS � FLOOD 20NE AREA QYES NO <br /> .�f� (� � <br /> � S �,� <br /> � �J{ �- ��r C0141PANY SJ ?e�o ,�-�/' <br /> Bl11LDER "�1`�,J' �i��p YI �Cuat�d Y1N <br /> SIGRA7UR G 1 rj t 1 C�' � I <br /> .h../l� � � J' Licenseu ' <br /> (!� � /- <br /> Address 1 ^ V� `D l.1 _ r a <br /> � CQMPANY J � -rc��. <br /> ELEC7RICIAN v •r.. \, t�}� q����Ep Y 1 N �E IXIRREt� Y!N <br /> SIGNA'RSRE 'v � �. 3 <br /> �o N 3 ' <br /> ��. �;j License# / ' <br /> Address I <br /> PLUMBER GOMPANY Y/N �cu� Y1N � <br /> StGtdATURE REGISTER� � I <br /> Llcense# �^_ I <br /> Address <br /> A9EGHANICAI. COMPdNY <br /> SIGNATURE REGISTERSD YI N FEEctmRer. YlN <br /> LiGCI�se# <br /> Addrese - <br /> OTHER COMPANY � , <br /> S16NATURE rtEci�ifam Y1 N FEEGURRE� Y1n <br /> �dB� Llcanse# <br /> 1 1 1 1 1 1 1 1 1 1 7 C 1 i l B 1 i 1 I I 1 1 I 1 1 1 1 1 I f 1 1 1 G 1 1 I 1 1 1 1 B 1 H 7 1 1 1 f 1 1 i 1 1 1 G 1 i 1 1 1 1 1 1 P 1 <br /> RESIDENTIAL AHach(2)Plot Plans;(2)seis of Bui!ding Plans;(1j set of Energy Forms;R-0-W Permit for new construction, <br /> A7inintum ten�'10J w�dcing days after submittal da[e. Required onske,ConsTruction Plans,Stormwatrs PJans wJ Silt Fence instaHed, <br /> Saniury Facil¢ies 8 7 dumpster,Stte Work Perml[for sutidvisionsllarge proJeGs <br /> C061MERCIAL Attech(2)comple[e seLs of Building Plans plus a Life Satety Page;(1)sef af Energy Fortns.R-O-W Permit for neoi conshuUion. <br /> Ailnimum len(10)vraking days after suhmittal date.Requlred onsfta,ConsWctlon Plans,5[ormvra[er Plans w/Silt Fence insklled, <br /> Sanitary Facliilies&1 dumpster.Site Work Pmnit for all new praje�ts.All oommercial requirements must meet m[nplien�e , <br /> SIGN PERMIT Attach(Zj ceLs af Engineerad Plans. .. , <br /> ""PROPERTY SURVEY required for a1I NEW consUuetlon. i <br /> _ L• - .. I <br /> Olrectlona: � <br /> I Fll out appiication wmpfeteiy. II <br /> �Wnef 8 Cont7:fcior slgn back�I applicalion,noL�r"v.ed <br /> If ovnr 52500,a Plotice of Cammencernen[is re4ulnsd_ {AIC upgratles ovet 57500J <br /> I " Agent((Or lhe cOnVector)or Power of AHomey(far ihe owner)would be someone with no4'zed Iettor from o�mer sauLhodzing sama ` � <br /> I OVERTHE COUN7ER PERMIi71NG (capyof coniraa requireC) <br /> Reroofs if shingles Se�ti2rs Service Upgrades AIC Fences(PIoUSuNey�Footage) , <br /> I Oriveurays-Not over Counter it on paWic roadways..needs ROW � <br /> t <br /> I . <br /> I � <br />