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8�sasaoozo City of Zephyrhilis Permit Application � F�s�sasaoo2� �
<br /> Building Department .
<br /> Date Recdived Phone:Contact�forPermittln —
<br /> Owner'�Name fn � � Owner Phone Number ��� ���-3 y�d �
<br /> Owner's Address � � ` ` ' Owner Phone Number
<br /> Fee Simple Titleholder Name �� Owner Phone Number �
<br /> Fee Slmple Titleholder Address
<br /> JOB ADDRESS � ti �� L � � ��
<br /> �+S �l. C LOT#
<br /> SUBDIVISION ' � PARCEL-ID# � - -
<br /> . (OBTAINED FROM.PROPERTI!TAX NOTICE) '
<br /> WORK PROPOSED �.NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
<br /> �B. INSTALL �' REPAIR � �
<br /> PROPOSED�U$E . Q SFR� [� �COMM Q OTHER
<br /> TYPE OF CONSTRUCTION [,� BLOCK ' Q FRAME � STEEL Q
<br /> � / ,
<br /> DESCRIPTION OF WORK' - � �C Q ; � � � �., w �S� °� �i u c � '�'O/ P c��
<br /> y G
<br /> BUILDING SIZE �O �SG FOOTAGE .HEIGHT T`�`�rs�
<br /> .� tir
<br /> BUILDING $ � � O � �ALUATION;OF TOTAL CONSTRUCTION l���9 ' s�
<br /> . . � i
<br /> QEL•ECTRICAL $ � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I
<br /> QPLUMBING $ � .�e� Co j
<br /> Car��Q,L �I �u/ I
<br /> QMECHANICAL $ VALUATION OF;MECHANICAL INSTALLATION. 4 � �„�`-��i7��j� �`�� i
<br /> �'l�e��� z`�C:e i.� J�ck S� I
<br /> QGAS Q ROOFING ,Q SPECIALTY., Q OTHER• hQ(�� Sfa��/t v�-Q�-'��js 7
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �a f��/�, � / �Cpl,�S �
<br /> c. �(1�J �
<br /> BUILDER ,,_ �IC�OMPANY� - �
<br /> SIGNATURE ���e REGISTERED Y/ N FeE CURttE� Y/N �
<br /> ' ` I
<br /> �
<br /> Address License# �
<br /> ,. • I
<br /> ELECTRICIAPI. - �•<COMPANY � i
<br /> SIGNATURE � REGISTERED Y/ N F�cuw�� ' Y/N
<br /> �, �
<br /> Address � , .- License# ,
<br /> PLUMBER ` COMPANY ' " • �
<br /> SIGNATURE` ' } � . _REGI3TERED Y_/ N.: : -_EEE CURREA Y/N:
<br /> Address � � :License,# I
<br /> . � . �
<br /> MECHANICAL' ' � COMPANY '
<br /> SIGNATURE � " ' � REGISTERED . Y./ N FEE CURRE� Y/,N
<br /> Addres��� � - � `- � Cicense#
<br /> OTHER . _, � . . '' ''� ,''COMPANY ` '
<br /> SIGNATURE •'=�'.>� � " ' ` REGISTERED Y/ N:.� �E Cu�n ' , Y/N
<br /> AddressF . . . � _ .'. Gcense# �
<br /> X,. . , �; .:. .;.,;�. ..,. .• . . - . ; ,
<br /> RESIDENTIAL�:.:.Attach'(2),;Plof�Plans;..(2)set"s`-of�Building�Flans;(.1)sef of Energy�Fortns;R=O=W Pertnif for new construcUon,
<br /> -� �,y�.Minimum�ten.(1,0):�worliing;days_.after.:subm[ttal'date.�Required ons(fe;:Constrtictlon�Plans;Stormwate�'Plans�w/Silt Fence installed,
<br /> '�� `Sani'tary FaciliUes�&;1,dumpste,r,•,Site Work;P.,ertnit for subdiVi,slonsllarge,projec;ts_ _•" • • _
<br /> COMMERCIAL. Attach(3)�coinplete sets'of Building'Plans plus a Life Safety Page;(1)set of Energy Forms.R O-W Permit for neW construction.
<br /> Min(mum ten(10)worktng days after submittal date. Required onsite,GonsUuctlon Plans,Stormwater Plans w!Silt Fence Installed,
<br /> Sanitary Facilides&1 dumpster.Site Work Permit for all neav proJects.All commercial requlrements.must meet compliance '
<br /> . ,•-
<br /> SIGN PERMIT Attacfi"(2)sets ofEngineer.ed�Plans.;:�••:� �- � �- � �- � �
<br /> ••••PROPERTY SURVEY required for all NEW constructlon.
<br /> Directlons: • • " �
<br /> Ffll out applicaUon completely.
<br /> Owner&Contractor sign back of appl(catlon,notarized
<br /> If over 52500,a Notic�of Commencement Is requlred. (A!C upgrades over 57500) . ,.
<br /> " Agent(for the oontractor)or Powe�ofAttorrmey(for tFie�owner)would be someone with notarized letter from owner authorizfng same �
<br /> _ , _ �
<br /> DVER THE COUNTER.PERMITTING� -,-(Front of-ApplicaUon Only) - -
<br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I
<br /> . _. . _ , - , � ' _., r,
<br /> Drivewaya-Not over Counter if on public roadways..needs ROW
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