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s��-�$aoa2a City of Zephyrhiils Permit P►ppiication FaX-a��-�ao-aa2� ,
<br /> • Building Department
<br /> Date Received Phane Contact for Permitting ;
<br /> Owner's Name Owner Phone Number
<br /> Owner's Address Owner Phone Number � �
<br /> Fee Simpie Tikteholder Name �� � Owner Phone Number �� �
<br /> Fee Slmple Tikleholder Address
<br /> J08 ADdRE$S LOT# �.�
<br /> SUBDIViSIC1N � � PARCEL.ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK FROPOSED e .. NEW CONSTR 8 ADDIALT � SiGN Q � Q DEMO�ISH
<br /> INSTALI. `REPAIR
<br />� PROP..OSEQ'U5E Q SFR Q CC1MM [[� QTNER
<br /> TYPE"OF CONSTRUCTION Q BLOCK • Q FRAME � ST.EEL ,Q
<br /> . e� , .
<br /> DESCRIPTION-OF WORK
<br /> BUI�DINfi S1ZE � � SQ FOOTAGE�� HEIGHT •[_�
<br /> OS�«'Q��� E"' � VAIUATtON'�OF TOTAL CONSTRUCTION
<br /> L.� �1
<br /> .:. . AMP SERVECE Q PROGRESS ENERGY Q W.R.E,C.
<br /> QE3:ECTRICAL ($ �
<br /> �
<br /> QPLUMB{NG � �
<br /> QNIECHANICAL ���� VALUATlON OF MECHANIGAL.INSTALLATIOiY
<br /> OGAS Q ROQFING Q SPEClA�TY � OTHER
<br /> FINISMED FLOOR ELEVATIQNS �� FI.00D ZONE AREA �YES NO
<br /> -BUt�DER COMi'ANY
<br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y%N
<br /> Address ' �� � "License# �- �
<br /> .. 'ELEGTRtGlAN . COMPAl�iY
<br /> � SIGNATURE REGISTERED Y/ N ' FEE CUftRE� Y/N.
<br /> . Address - License# � � � �I
<br /> < x,..:..
<br /> P.�UMBER..:, COMPA�+IY -
<br /> 81GNATURE =REGIS7ERED Y�/ N' . FEE CURRE� Y/N
<br /> � .._ �
<br /> Address � Liaense# �� � '
<br /> MECHAF+lICAi:" ' � COMPANY �
<br /> ' °SIGNA7URE''"' `� ' � REGIS7ERED =-, Y/ N FEE CURRE� . Y/N
<br /> AiidressL � � License.# � �
<br /> �,�.i=. ... _.. .
<br /> . OZFtER} .,, , ' ` COMPANY
<br /> ,.-"SIGNATUREi;-��_ .� - - � - ' - REGISTERED Y/ N FEE CURREK ; Y/N
<br /> ` Address-��� _ =:j. _. ,:;±� . , , ., , License# � '" �
<br /> � ,;�:_;° �,,. . ,
<br /> '��"rRESIDEN71i4{,.:�w�- ;Aftaci`,►„{2).Plo#'�Plans;:{2}:sefs'�of=St'iilding=Plans:(1•)`set of�Ene'rgjrFor'iiis;f2;0-utt Pemiit�or new.constructiori,�
<br /> r<� - Minimum�:ten,(.10)�".w,orking;days af#er submittal�date.�Required'orisite;Cbnstriiction Plans,�Stormwater Plans w/Silt Fence instal�ed�_
<br /> t_... ��p�M= .—�.,_t'-�.va�_ . " .
<br /> � "`— `Sanifary:,�acilyTbes;&�t1:�dumpster;Site;Wo[kPermitfor.subdivisions%}arge'proJects V ' �
<br /> ��;..GOMMERCIAG Attacti�r(2}`c;orriplete`sets of'Suitding P1ans pius a I.ife Safety Page;(1}set af Energy Forms.R-O-W Permit for new constructian.
<br /> � Minimum t'en(10)working days after submlttal date. Required onsite,Canstructian Plans,Stormwater Plans w/Silt Fence inskalled.
<br /> `-'�'�' Sanitary Faaatities&:1 dumpster..Site Wor.k Permit fo�°aH new projecEs.Alf commercfa!requirements must meeYcampliance
<br /> I� ,K::,:SiGN;:RERMIT `Aittach"°(2}sefs•of;Engineerec3,Flans:�C� ; .
<br /> "''"= *'""PROPERTY SURVEY r,equired,for aII.NEW canstruction., _
<br /> :Directtoris; �. __- . . •
<br /> �� fill:.out application completely.'
<br /> � tlwner&-Contractcr sigti liack of appllcation,notarized
<br /> if aver$250d;.a Notice�of Commencement is required. (A!G upgrades over$7500)
<br /> .,.��.: ���-���
<br /> •�"'_; AgenY(for tHe�confractot)ror`Power�of'Attomey(fur'tt►e oinrner)would tie someone with nolarized letter from owner authorizing.same
<br /> ,�!OVER.T.HE rCG1UN1'ER;._P,;,ERM11'_TiNG.,_. (copy.of-contract-required) ' ' ' "
<br /> �°:'-;Reroofs if'sFiingles Sewers Servlce Upgr�des A/C Fences(PIoUSurvey/Footage)
<br /> ,.�.u: :;z,- .._ ..,.... .,. .s. �.�,:.,.,. :-.+;.,,:y, _�.,,,�;� ...._ , -., .,... i
<br /> Drlveways-NotoverCounter�if'on`pubtic��tiadways"'.needs.ROVU - • � , �i�''�':���:i"'::'�.�.`r,�;�'=t`' � ��
<br /> ,. _��„. -.,:�.,.'+iic:3.,;ft°�. ., !":.'i7hi::'u ,.,::iz':iry;;Y. �'� i
<br /> `� i4`"r`',,11P=`�1i.,:r;f;• ,'*j�„t�l`�� -, , , `t';t%�.,: .,...;IJ.�S'� .r l?,;; . ' ��
<br /> ' : .�i.����]J:..�.... ,� �„ . '1''�h•�,,tiY'� ��� " ^ , i I�_ii�° �iii2„ , _.1,''`,.w4,ti..., � ..�.. S>
<br /> !i .. :.�. — �. .. - ..
<br /> ` .s...e>n>�.s« ... r�,rn.>a..i.�._.,� -i....... .. ... ... .. . ...w.-,s. ..._.. . .r. . _... �
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