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8��7aaoozo , City of Zephyrhilis Permit Application Fax 81&780-0021 <br /> Building Department <br /> Date Received phone Contact for Pertnitting <br /> -rr� �T�-rrr - - - - - - -rrrr� - <br /> Owner's Name Q �u}�U ��Owner Phone Number <br /> Owners Address � l7 p� I �I'Owner Phone Number <br /> Fee Simple T7tleholder Name Owner Phone Number <br /> Fee Slmple TiUeholder Address <br /> JOBADDRESS �/" y�(J. � ���S LOT# � <br />, SUBDIVIStON PARCEL IDJ� - —Q (Q <br /> (08TAINED FROM PROPERiY TAX NOTICE) <br /> WORK PROPOSED e NEw CONsfR� ADD/A�.T 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �S�n � l� �'Y �i (S � p�4' cS��(�,•w <br /> p �1 <br /> BUILDING SI2E SQ FOOTAGE �3 HEIGHT <br /> QBUILDING S� � �F7� VALUATION OF TOTAL CONSTRUCTION I <br /> (�/V <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �` � <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> n � �?COMPANY � 1/ - <br /> SIGNAT E L��11 I �� REGISTERED Y/ N �c Ren Y N <br /> Address � License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cutx�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �curtaen Y/N <br /> Address License# <br /> OTHER �"�� COMPANY rl � �J �G <br /> SIGNATURE REGISTERED Y/ N �cuaRen Y/ <br /> Address -�'O 6 �' I W ���mS License# <br /> IIIIt111111111111111 111111i101111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-0.W Permft for new construction, <br /> Minimum ten(10)working days after subm"dtal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns_R-O-W Permit for new construction. <br /> Minimum ten(10)working days after subm"dtal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPER7Y SURVEY tequired for all NEW construction. <br /> Directions:. <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Pawer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of wntract required) <br /> Reroofs ff shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..�eeds ROW <br />