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I alsaeo-oozo ' 'City of Zephyrhilis Permit Application F�-a1s-�ao-oozi <br /> Building Department <br /> � <br /> Date Received � <br /> � Phone Contact for Permitting -- <br /> Trr7�rr-r <br /> Owner's Name � �a � �-. � Owner Phone Number ��(�Z . �- �•�� �J <br /> Owner's Address �a6oa z��e�� �" ��' �G-n-►�J��� �/Owner Phohe Number <br /> Fee Simple Titleholder Name C.,r► � Owner Phone Number <br /> ! - -- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r�!�I��� ��� �J���L�/ / �/� /�I.,� LOT# �� <br /> SUBDIVISION S1�l l���'� �p PARCEL ID# ��}-����' �a �d � jfC����"�4'�� <br /> (OBTAINED FROM PROPEFiTYTAX NOTICE) <br /> WORK PROPOSED �NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL .Q <br /> DESCRIPTION OF WORK n�� 5•��<<���'+'�-� � I�S�c��C� � ►�J�� .I�b�"�"� � '�J�a` <br />' BUILDING SIZE S�FOOTAGE /���„1 � � HEIGHT � <br /> I1T1"rr1"1T <br />, �BUILDING $ <br /> 1((,�� CI�G'j VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.C. <br /> ������ � <br /> �PLUMBING $ ����F ;. I /'� ��� <br /> l./! / <br /> / <br /> 0 MECHANICAL $ �J��� VALUATION OF MECHANICAL INSTALLATION <br /> _ � <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS ��� + � ` FLOOD ZONE AREA DYES NO <br /> •�1--F-1--1-F1••1•-1-1--1--1-1-��1--1-f-1-�1-•Ir•1--1--1-1-•1--f-1--1-1-1--1--1-4-I•••f-f•-�i-1--�1-1--�1-1-�1-1-1--1-8--' • • • • • • • • 1--F-F-� <br /> BUILDER � � �_ COMPANY �� T - �c���'� !�f"'�C <br /> SIGNATURE '`� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ����ra� 7�C��CO/�'� �r' )/s'� C ��C.��q�G� � <br /> License# <br /> ELECTRICIAN �f� COMPANY �� MOr��p� ��'��`�r� � <br /> SIGNATURE �•� REGISTERED Y/ N FEE CURRE� Y 7 N <br /> Address 1 v� � 51�� 1��� /'s��G M �- License# ������ �� <br /> PLUMBER � � COMPANY l.��/'�I1 �/��T� ll ��B"�S <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y .N <br /> Address � '�'l y� �� �� c �v f� �L License# V�� ��.���/�- <br /> MECHANICAL �� COMPANY �I�D r�ss i �� �1 i r~�y s-}-Cm f <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 5��`� c=5i7���f• �C,r�-r�f C�'r License# l.� C.� � <br /> OTHER ��-�.��,_ COMPANY l,/ 1 ��Crr'� ��CM- 1 n <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y f N <br /> Address (B 7� f �`��' �7�` ���rs �" License# � �.;� � � � <br /> 1111111111111111111111111111111111111111111111111111111111� 111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction,; <br /> Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2),complete,sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms:R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,$tormwater Plans vJ/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for a!i new projects.All commercial requirements must mee4 compliance <br /> SIGN PERMIT Attach (2)sets of Engineered Plans. <br /> *"**PROPERTY SURVEY required for all NEW construction. <br /> '�:--:-�E.i�-1..1..1�6..1..4.f-1..1-1-.1..1-'.�--^'�:-1-1..1.-1--i-a-1-.�--4-1--1-�f..1.-1�1..�1-1..1-�1-.i.�l-�I.-��• • • • • • • 1..�1-1--1.. <br /> Directions: <br /> Fill out application completely. ' � � , ; <br /> Owner&Contractor sign back of application;notarized ' . �`• _ � ' �, � �� <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Ageht(for the contractor)or Ppwer of Attorney(for the owner)would be someone with notarized letter from owner authorizing�same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs,ROW '' ' � , , <br />