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a��-rOW1U'LU City of Zephyrhiils Permit Application �`f 7 Fax-813asaoaz� <br /> Building Department <br /> Date Received--; '=' Phone Contact foe Perm{ttln C�� � �� — o/b�J <br /> Uwner's Name ��l'��C7 Owner Phone Number �� � �l�'"'..7���� <br /> Owner's Address ��� / /ll� Qwner Phone Number �� n � <br /> Fee S#mpte 7lttehotder Name Owner Pfione Number � ^� <br /> Fee Simpie 7Ftiehotder Addresa <br /> JOB ADDRESS �„J" CT lR- !V �� LOT# �_r� <br /> SUBDIViS10iY �l�'� S66 U PARCE4.Ib# ' ��✓'c� c�� ��� ��t7a d�t3 <br /> (OBTAINED FROM PRQPERTY 7AX NOTlCE) <br /> WORK PROp08ED , e NEW CONSTR� ADDJALT � SIGN Q Q DEMOLtSH <br /> iNSTA1.L i2EPA1R <br /> PROPOSED�U�E L] SFR Q COMM Q OTHER <br /> 'iYPE OF CONSTRUCTlON Q BLOCFC " Q PRAME [� STEEG Q <br /> DESCRIP11dN OF WORK ��` �a- �� (i �~G�G� t�. �� d <br /> BUILDING SIZE �� �� SQ FQOTAGE MEIGHT ��� <br /> C]BUILdING ��—� VALUA7tON OF�TOTaL GONSYRUCTION <br /> QELECTRICAI. �� � AMP SER1/ICE C] PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING � — � _ <br /> QMECNANICAL $ �, ,,�a ` VALUATION OF MECHANICAL.INSTALLATION <br /> � vl! <br /> QGAS [� ROOfi1NG Q SPECIALTY � OTHER <br /> FlNISHED F1.00ft ELEVAT{ON3 (�� FIOdD ZONE AREA QYES. NO <br /> �.^,_,_.� - <br /> BUlLDER COMPaNI!' <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.lcense# � ` � <br /> ELEGTRICIAN � � COMPANY <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# �� � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGlSTERED Y t N FEE GURREA Y i N <br /> Address i.icense# I � <br /> ,_, _, <br /> SIGNATURE ��G�rX..t� `'"��(�3�'�� COMPANY �t�1�S� a4l1�� :t'"�..��i'lI�G' <br /> REGISTERED Y/ N FEE GURRER` Y/N <br /> Address l'�"j�/+1 ucense# ��������'��� <br /> ,_.___ <br /> OTHER ,COMPANY <br /> SfGNATi1RE ,,_,r„^,,_.^,,_,,"�T,� REGISTERED Y/ N . FEE CURREt� Y/N <br /> Address License# � � <br /> RESiDEtdT1AL Attac.t�(2)Piot�Fians;(2)sets.af>Building`Plans;(i)set of Eriergy�Foims;R-O-W Permlt for new construction, <br /> Minimum.ten°(1.0)warking days;after„sabmifta)date.�Reqa�reid onsfte,Constirucdon Plans�Stormwater Plans w!Silk Fence installed, <br /> Sani4ary Facititles:&;1.,dumpste_r.-�Site Work:Permit tor subdivislonsAarge proJects <br /> CQMMERCiAL Attach(3)comptete sefs of Building Plans ptus a Llfe Safely Page;(1)set of Energy Fo►ms.Ft O-W Permit for new construction. �- -� - � "--" <br /> Mintmum ten(10)worlcing days'after submlttal date. Required ansite,Construcflon Plans,Stormwater Plans w!Silt Fence installed, <br /> Santtary FaciiiNes&1 dumpster.Sike Wark Permft for all new proJects.All commercial requlrements must meet comp!lance <br /> SiGN PERMIT Attacfi(2)sets of Engineered:Pians. � <br /> ""PROPERTY SURVEY requtred for all NEW consttvcflon. ' - •� <br /> Directions: <br /> Ftl�out applica8on completely. <br /> Owner&Contractor slgn back of appl[caflon,notarized <br /> If aver S2S00,a Notice of Commencemenk is requlred. {AfC upgrades over 57540}_ � <br /> " Agent{tor the contractar)or'Power of Attarrtey(for tite owner)woutd be someone with nota�ized letker from owner autriorizl'n'g same - � - �•� _ <br /> DVER THE COUNT6R PERMITTING , (Frr�nt�of AppllcaBon Only) _ ,. ' , ,. <br /> Reroafs lf shingles Sewers Senrice Upgrades AlC� Fences(PlotlSurveylFoatagej . . , . , ' <br /> � Drivewaya-Not over Counter(f ompublio roadways..rteeds�RQW ' � ' <br /> � .0 4.� Y .i� .i _ _ ^ e .� . _ _ .. <br /> !� <br /> " 1F i <br /> �'.� <br /> _...=....r_:.._s-....._„_�,_._�,...,..-,...,..�.�t,.�..r ._t�,�e..�.e...m.v.w...a.o-..�.�.,.�.......____..�.V...._.,_.,... ...�..�r �r.:J <br />