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e�3�eo-oozo City of Zephyrhilis Permit Application Fau-8137840021 <br /> Building Department <br /> � Date Received Phone Contact for Pertnitting <br /> � � � ��i � � 1 � � � � � � <br /> , <br /> Ownefs Name ��� l� �`1 W Owner Phone Number � � � /�� <br /> Owner's Address � / V�'' Owner Phone Number <br /> Fea Slmple TiGehoider Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �5 - 4w� � � �' . LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED B NEW CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � '1�� l SI�'Q/�I � � �L�1f-� ( <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.�� <br /> QPLUMBING $ �/�/`�? <br /> -�-r � <br /> �MECHANICAL $ r r_(� �� VALUATION OF MECHANICAL INSTALLATION <br /> ���J(%� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE aEcisrer�o Y/ N �cuRrxen Y/N <br /> Add►ess License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Rects�o Y! N F�CUr�xEn Y/N <br /> r.J Address License# �� � <br /> /�/���GV�"�'0.(! ,�p� s� �,^ <br /> 1"'" ER COMPANY !(L �` ��'�J' - � � <br /> REGts�aeo Y/ N �cUw�En Y!N <br /> v_ Address License# � 1J /� <br /> MECHANICAL �/1n COMPANY - N'�' � K/ �/ <br /> SIGNATURE a �y� REGISTERED Y/N FEE CURRE� Y/N ` <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE cuRaEn Y!N <br /> Address License# <br /> 1101111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(Z)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construdion Plans,Stortnwater Pfans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W PertnR for new consWction. <br /> Minimum ten(10)woricing days after submittal date. Required ansite.Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> DirecUons:• <br /> RII out application completely. <br /> Owner 8 Contrador sign badc of application,notarized <br /> If over$2600,a NoUce of Commencement Is required. (AlC upgrades over 37500) <br /> " Agent(for the contractor)or Power of Attomey(for the oxmer)would be someane with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter"rf on public roadways..needs ROW <br /> - � <br />