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' s�saso-oozo, City of Zephyrhiils Permit Application ��stia-7saoa2� ; <br /> '�_ �� _ Building Department � <br /> f ,' <br /> I �. i - . � <br /> , i � - i <br /> Date Received � 2 � phone Contaat for Permitting — , <br /> Qwner's Name ' ` �(r Owner Phone Number <br /> Owner's Address �C�l..,.l� `�I � F�' ��'� Owner Phone Number ; <br /> i �Fee Simple Titleholder Name � Owrier Phone Number �� � � <br /> � � , <br /> Fee Simple Titleholder Address � , <br /> { py �_�� � <br /> JOB ADDRESS `-t ��� � 1' Z. LOT# i <br /> I i <br /> suBotvisior��i �� � PARCELID# ��'�Q�2S --t�O1C`7, --�1�30D-(�b1fi> <br /> (OBTAINED FROM PROPBRTY TAX NOTICE) � <br /> i <br /> WORK PROPOSEd e NEW[ONSTR 8 ADDIALT � SIGN Q � DEMQt�lSH ' <br /> INSTALL REPAIR <br /> � <br /> PROPOSED U,SE Q SFR Q CONiM � QTHER ' <br /> TYPE 4F CONSTRUCTION Q BLOCK - [� FRAME � STEEI, Q ; <br /> � <br /> x � <br /> ` DESCRIPTIO�OF WORK � ' <br /> � ' <br /> BUICDiNG SIZE �� � SQ F001'AGE�� HEIGHT � <br /> � <br /> �.=3"U�i�»� $ ��-? G,(-� VALUAT(ON'OF TOTA�CQNSTRUC310N <br /> ;'l �-��✓ <br /> � QELECTRICAL � � AMP SERVICE 0 PRO�RESS ENERGY Q W.R.E.C. ; <br /> � I <br /> OPLU,MSI(dG $ � I <br /> �MEGFIANICAt �p� VA�UATION OF MECHANICA�INSTALLATION <br /> QGA�� I <br /> Q E200FtNG [� SPECIRL.TY � OTHER � <br /> FINISHED FL�OOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> �� �� � <br /> � {� I <br /> .BUILDER � �'� _ �7��C}09WIPANY � � <br /> SIGNATURE ; �C�i�}' ' aC.,... � �,.�1 f�EGISTERED Y/ N FEE CURRE Y/N i <br /> g��k �'�t� YUc� �21 � � <br /> Address License# f i <br /> ELECTRtG1Afid COMPANY � <br /> SIGNATURE; REGISTERED Y/ N FEE CURRE� Y/N <br /> ¢ <br /> Address� • Lieense# � � <br /> PlUMBER � , COMPANY - � <br /> SIGNA7URE =REGISTERED Y•/ N FEE CURRE� Y/'N � <br /> � � <br /> Address License# � � <br /> . � � <br /> MECHi0.NiCAl. COMPANY <br /> SIGNATURE�� REGISTEREp , Y/ N FEE CURRE� Y/�N I <br /> Aild�e'ss License# � � ' <br /> , � <br /> :� � <br /> O'fHER � CC►M,P-ANY � ; <br /> SIGNATURE��A= -' ` . REGISTERED Y/.N FEE CURREK Y,/N i <br /> �. A�ddress; � _ °� w License# �� � � <br /> � <br /> RESlDENTiAt.��°:. Attach:{2}'�Ptof Ptans;'(2}°sets of'Buildii►g•Plans;{1')'set of�Energy,Fo.rms;R-.O-W Perm1#.for new conshuctian, � <br /> � ' _ - � �� �Minimum.ten;(,10)working:days after.submittal,dafe.'Required`onsite,Constructlon Plans,Stormwater.Plans w/Silt Fence installed, � <br /> . ,��,�-,.��, ; ., <br /> ` � Sanitary�Facitjties.&:t1v.dumpster.;Site Wocic Permlt'for;subdivisions/la�ge.projects <br /> COMMERCIAt: Attach'(2}corriptete sets a#Buit`tling_Plans ptus a Life Safety Page;{1}set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, , <br /> Sanitary Faciiities 8 9 dumpster.Site Work Permit forail new projects.AN commercia!requiremer+ts must meet camptiance <br /> °, •SIGN:PERMIT Attach(2)sefs ofi Engineered Rians:- i <br /> *""*PROPERTY SURVEY required for.aU,NEW construction. <br /> — - I <br /> ��'Directions: ,1i � � �" --- �- ,. � <br /> . • F(II out application completely. ; <br /> . Owner&Cantractor sign back af apptication,natarized � <br /> � if over$2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) ! <br /> � " Agen#{for th'e conuactor)orPowerof Attomey{for'ttie owner)would be someone with notarized Istter from owner authorizing same ' <br /> i ' <br /> . OVER THEiGQUNTER•PERMITTING (copy of-contract required) <br /> ' Reroofs if shif�gles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> i <br /> Drivew�ys-Not over Counter if on public roadways..needs ROW i <br /> I <br /> I � <br /> -- - i <br />