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��r•��wU�� Gity of Zephyrhiils Permit Application FaX a�a-�saooz� <br /> Buflding Depertment - <br /> � • . <br /> Date Recslvea! Phone Contact for Permittin O f� O – ��1� <br /> Owner's Name j�,� 4 Own�r Pfion�Number �f3��o�"��� <br /> Owner's Address ,��� l'�l�1,111,�.� ��v . Ownar Phone Number � <br /> Fee Simple Titlehotdsr Name ��`���� Owner Phone Numb�r �� � <br /> Fee Stmpte T(tteholder Address <br /> �os,a�oREss 5'r"a' �u� �ri zay�,� �1r� , �ot# �� <br /> susQtvis:oN „�r'�- drE 2 r��tJ.S� PARCEF.ID�# J �� �/ �l��G�G�t'J�'4j,`J �l'o�� <br /> (OBTAlNEO FROM PROPERTY TAX NOTtCEj <br /> WORK PRdPO$ED NEW CONSTR ADp/ALT [� SIGN [� [� QEMOLISH <br /> , e_ INSTALL REPAIR � <br /> PROPOSED�USE Q SFR Q COMM [,� 07HER <br /> TYPE OF CONSTRUCTidN Q BLOCK " Q FRAME � STEEL Q <br /> DESC121PTION OF WORK ��� � G� t�l7 �'~Lf LL- �/ „/� <br /> BUILDING SIZE �� � SQ FOOTAGE NEIGHT . � <br /> QBUILDING �� VALUATION`QF'TCt'i'AL CQNSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY [,,,] W.R.E.C. <br /> �]PLUMBIFlG � � . <br /> QMECHAM1tlCA�. $ VALUATION OF MECHANICAL INBTAI.LATION <br /> ' ������ � <br /> i C]�as [� �ooF�ra��.p sP�ci,a�r�r � a��R <br /> ' FINtSFiED FLOOR ELEVATIONS �� � FLOOD ZONE AREA QYES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE RECaiS7ERED Y/ N FEE CURRE� Y/N <br /> Addres� Llcense# � � ^ � <br /> ELECTRICIAN CQMPANY <br /> SIGNATURE � REGISl'ERED Y/ N FEE GURRE� Y/N <br /> Address Llcense# � � <br /> PLUMBER CdMPANY <br /> SIGNATtIRE REGtSTERED Y/ M FEE CURRER Y/IY <br /> Address Ltcense# � �� <br /> MECFiANICAt ` COMPANY �"�7�2..5 �J7V�'�.��'��`r'"G'' � - <br /> SIGNATURE RE�IS�ERED Y1 N FEE CuttRE� Y J N <br /> Address 7 7-T� /�� Ltcense# ( �'� ��T��'�da �� <br /> OTHER ..COMPANY <br /> SlGNATURE REGISTERED Y J N FEE CURRER Y!N <br /> Address "" fw License# �— i� <br /> .d�.. <br /> FtESlDENi'lAI: At#ach(2)..Rtaf=Plans;{2)set`s.offBuild(ng'Rlans;(i)'set af�Energy�Fonns;R-O.W Permit far new construc�on, <br /> Mintmum.ten(1Q)�working;days:aftec.su6rtiitta!date. FZequlr"ei!onsite,Construction Plans;Starmwater Pians wt Siit Fence instaifed, <br /> Sanitery Faciffdes:&:1,,dumpste_r,,Site•Work.P<ermlt for;subdiVi'slons/large proJects <br /> COMMERGiA[. Attach{3)'cirmptete seM of Buitiitng Pians ptas a Life Safety Page;.(1)set of Energy Forms.R-O-W Permit for new construction. <br /> MiNmum ten(�4)worfcing days atter submittai date. Required onslte,Cons#ruc8on Pians,StoRnwater Plans wJ Sift Fence tnstalted, <br /> Sanitary Facilides&1 dumpster.Site WorK Pennit for all new�proJects:All commerclal requtrements.must meet compUance <br /> SIGN PERMIT Attacfi"(2}sets af Engineered Plans. ` <br /> ••"PRQPERTY SURVEY required For alt NEW constru�tlon. <br /> Diractians: <br /> FIII out applicatfon campletely. <br /> Owner&Contractor sign back of applicallon,notadzed <br /> tf aver�2500,a Natice of Commencement 1�requlred. (AfC upgrades over�7500) <br /> •' Agent•(far#he contxactor)ar"Powe�of Attomey'(for the owner)would be someone with notarized letter frrom avvner authorizing same <br /> OVER tHE COUNTER PERMiTTING�. - (Front of Appllaatlon.On►y)� ' � �- � , . <br /> Reraofs!f shingles Sawers Senrica Upgrades AtC Fences(PiatlSurveylFootage} „ � ' <br /> � 4 � , , t <br /> Drivew►ays-Not over Counter if on publlc roadways..needs ROV1/ ; <br /> � <br /> �, i"� <br /> �, <br /> :_.�--_-----.__.._._._.�..._.��_:A�.�.:___�_�w....__.,...___w..��..--��.,-_-��-,�__._ ..._ �,..�_�.�_ .__�w.�.w, _. <br />