|
-
<br /> �,�-r���-zo City of Zephyrhilis Permit Application Fax-s�saaaoo2� '
<br /> Building Department �
<br /> • � �
<br /> date Recelved � • ' �
<br /> � �� •. Rhone�Contactfor•P�rmtttin �S� � ' ;
<br /> . , s.
<br /> Owner'a Name �. Owner Rhone Numbe'r � �
<br /> �
<br /> / c.
<br /> Owner's Address �� . i/ Owner Phone Number� �� � I `
<br /> , � i:
<br /> fee SFmple Tit�ehatder Name Owner Rhone Number � ' ;.
<br /> - ,
<br /> Fae Simple Tltlehatdsr Addr��s ' , �
<br /> � , l
<br /> SV�J'WV/'i�Vi7 I/"'"'�'YYG... �OI fl 1 'F1
<br /> I (
<br /> susoivis�ar� � � p,a�c��,�a# � ,5~ Sr a � f
<br /> (OBTAINED F.ROM PROPERTY,YAX NOTICE) ' i
<br /> WqRK PROPO�Ep �-New coNSTR� ADDlA�T � Q� SIaN' (� Q DEMOLISH I a
<br /> ~•�e. ;INS1'AL�: ,� REPiAiR - . ' +
<br /> PROPO$EDrUS� Q SFR� [� COMM � OTHER �` � �
<br /> 7YPE OF CONSTRUCTiOW � Q� -, BLOCK " Q FRAME .�� SYEEC Q U� t
<br /> �� �
<br /> QESCRIP110N 0�WOR4C � � +
<br /> . .. �
<br /> ;
<br /> BUIk.DlNt`a"S}ZE� . 'SQ FQQ�'Ati� ' , a . _,H�l43FI���,� ] j f
<br /> 1 i
<br /> QBUILDING $ + , ^ .� � I c
<br /> . VAk.UAT10N`OF'fOTAL"CONSTRt1Ci'ION � �i
<br /> 4
<br /> QELECTRICAL $ . . � AMP SERVICE '[� 'PROGRESS ENERGY Q W.R.E.C. i !
<br /> I '
<br /> �
<br /> QPLUMBING i�� j �
<br /> �MECHA►NICAL $ �y VALUATION OF"MECH�IIVICAL INSTALI;AT'ION. � '
<br /> l�� �� ' � !
<br /> QGAS Q ROOFING �] SPECIALTY'[� OTHER I �
<br /> i
<br /> FtMSHEO fCOOR EIEVATIOEVS � � FLOOD ZONE AREA QYES. N8 j
<br /> , ;
<br /> i i
<br /> BUILDER COMPANY�
<br /> SIGNATURE -- - — - l��.s7�o - `t I N . ' �FEE CCIRitER,� Y 1 P�l -I -
<br /> Addf988 ' - ' GfcenS@#'� � `
<br /> ,
<br /> . � ry i �
<br /> � EI.ECTRICIAN: r =CQMPANY ' ., - i •
<br /> StGP2ATURE '� R���szER�o Y'1 N �cuRr�E� , '�Y 1 N ;
<br /> . ., �
<br /> Addre�s Ucense#-.�� � � �
<br /> PLUMBER ' COMPANY � ry ,- �
<br /> SIK3NAT{�fFlE � '� REGlSSERED - Y.I N.. :.�- .FEEGURRFP Y-1R1 . ,
<br /> Addr'a�s ` ` i;icsrise„# (E �� ��
<br /> MECHANICAL:` . - .. � 1 , �
<br /> '�/2Z�t:-��2�' COMPANY, ,., ..� r �
<br /> Stt3NATURE G� " ��isi��i�o N . . �E cUr�a+ -N :
<br /> s • ' >:.:._ .
<br /> Addre�s`. � �/ ��� C� (� - � -- ' t.tcense#� ��t � L��t i) t��
<br /> 07NER .. : - , . - -� , . �
<br /> �' ;CQMP'ANY ,
<br /> StGNA'iURE •�. .. r t, � , ` . . , �' -REGlSTEi2ED Y I'�11.;., . FEE Gt![t}2EE - Y l�+1 .
<br /> _ Address, - '• _ � � - � L"icens9 �
<br /> , . .. _ v . . �. , , ... #,�
<br /> RESIDENTIAI;;�:�Atta'ch'`'(�)„Plqt��Plans;�(2)sefs af,�B'ullding�Plans;'(1)set'ofrEneSrgYmFar'ms;'�R-'O=W�Peirrilf for new oonstrucUon, �. ` + "
<br /> H� :. k g>Minimurn�ten:;(1A);wadting�day,s;aite%�sutimtttal`date:;:Requirei!onsite;>ConstiucUon Plans;°�$tarmwater Ptans wl S[(t`Fence installeti,
<br /> "'�� Sanitery Facdl.itles,&�.1r,dumpster��SiteyWork jPertnit}fo,r.:,sutidivislons/laiige�proJegts y,.�;,�':-.�:, _ ` , .
<br /> CpMMERCIAL Attech(3)zi:omplete sets of Bullding Plans'plus a Ufe Safely Page;(1)set of Energy Fortns.FL-O-W Permit far newi construatlon.
<br /> Ntlnlmum fen(1Q)warking day�s after submttta!date. Ftequ(red onstte,Cor�strucUon Ptans,Stormwater Plans wI SIIE Fencs installed, �
<br /> , Sanitary Facliides&1 dumpster.Site Work Permit for ali new4proJects:.Ai1 dammerdal requirements,must meet oompllance ` ,
<br /> , ._ .. ..,.._. .._ .
<br /> SIGN PERMIT AttacYi(2)sets of�Eng,i`neered�Plans;, � - �•� . . :. -�
<br /> „••
<br /> ••••PR{)PERTY StiRVEY requlred for atl,NEW conshpa�on... �•
<br /> Dli�ctlons: ...., , . ' �
<br /> FII{out applica�on completely. '
<br /> 'Owner 8 Contractor sign back of applfcadon,notarized � �
<br /> Ifover�250p,a Notice of Cammencement Is required. (AIC upgrades aver�7500) '
<br /> ."-�<:�_�;:
<br /> '" A�qent(far ttiefcontraotor}ot Pawer df Attomey(for ttie owner}`would be someane with notarized ta#ker from owner authorizing same
<br /> DVER THE COUNTER:PERMITTING�-- .-- �(Front of•Applica8on Only)- �
<br /> Reroofs if shir�gtes Sawers Servlce Upgrades A!C Fences{PEo#/SunreylFoatage)
<br /> D�ivewaya-Not over Counter if on public roaduvays..needs ROW
<br /> ,�
<br /> 1 F"�
<br /> ,:w�
<br /> I�
<br /> �.-...<< ,,..�...,��..«.�....�_.�u,.�r....�>.a -- ...a...sy..,���.._. �....� �_..�_�., � —�
<br />
|