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s�aaaa-ooao City of Zephyrhil(s Permit App(ication Fax-843-780-0021
<br /> : .
<br /> Building Department
<br /> Date Received Phane Contact for Permitting 3��J �`�$ - b���
<br /> Owner's Name I.and Tru� tJtil935a. C-sord�n'f�1►kd���c.c.� �a-. Owner Phone Number
<br /> Owner's Address �d �� ��"ts� ��'L, �+33�'$Z�-k Owner Phone Number �^ � �
<br /> Fee Simple TiNehotder Name ��a�itV��'�� ���5�-- � Owner Phone Number � �
<br /> Fee Simple Titleholder Address �
<br /> JOB ADDRESS �g SZt"�. N�Mi �i3+L � ll�+l la. �t.. �35�"')--- LOT# ��
<br /> SUBDIVtS14R1 � �� PARGEL 1D# OZ" `�, -�C)S�"'���Q�3- C`�l Z-�
<br />� (OBTAINED FROM PROPERTY TAX NOTICE)
<br />, WORK PROPOSEd NEW CONSTR ADDlALT � S(GN Q Q DEMO[.ISH
<br /> e INSTALL 8 REPAIR
<br /> PRQPOSED USE Q SFR Q COMM [� OTNER If� � '�r,�
<br /> TYPE OF CONSTRUGTION Q BLOCK Q FRAME � STEEL Q
<br /> pESCR1PTiON OF WORK Ci-1- �Yl Q.G�O�/'�, .
<br />' BU[CDlNG SIZE �� � SQ F04TAGE� NEIGHT �_�
<br /> �BUt�DING �i -� �/ALUATtON OF TOTAL CONSTRUCTtON
<br /> X�ELECTR#CAL $ �' ��oa� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
<br /> QPl.UMB[NG � �
<br /> �MEGMANICAL �� VALUATION OF MEGHANtCAL INSTA�IATiON
<br /> QGAS Q RQQFING Q SPECIALTY � OTNEF2
<br /> FINISHED FLOOR ELEVATIONS � FLQOD ZONE AREA �YES NO
<br /> BUILDER � _ . - . - � __ COMPANY -- - - -
<br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � ���
<br /> EIEGTF21C1AN � A j � COMpANY G�..�- ��f=C�'1f1 tt� ��'
<br /> SIGNATURE d�f�`--�� REGISTERED N FEECURRE� N
<br /> � �D �j�}X, (oa. � �1.�3�'4 ��,,, �icense# �C1�O013S3 �
<br /> Address
<br /> �` PLUiVtBER COMPANY
<br /> ' SIGNATURE REGISTERED Y/ N F6E CURRE� Y/N
<br /> � Address License# �� �
<br /> .R•�
<br /> MECHANIGAI. COMPANY
<br /> 81GNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �� �
<br /> OTHER COtVIPA1�1Y
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> ...,—,,,_„ „_,,._,_,,,.....,
<br /> Address ticense# � �
<br /> RESIDENTIAL Attach(2}Ptat P1ans;(2}sets of Buitding Plans;{1}set af Energy Forms;F2-fl-iN 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.. Attact�(2}comptete sets of Building Plans plus a Life Safety Page;(4}sst of Energy Forms.R-O-W Permit far new cans#ruction.
<br /> Minimum ten(10)warking days after submittal date.. Required onsite,Construction Plans,Stormwater Plans w/8ilt Fence installed,
<br /> SaNtary Facilities&1 dumpster.Site Work Permit for al!new projeats.AI!commercial requirements must meet compliance
<br /> SIGN PERMiT Attach{2}sets af Engineered Pians.
<br /> '""PROPERTY SURVEY required for all NEW construction.
<br /> Directions:
<br /> Fill aut application completely.
<br /> Qwner&Contractor sign back of appiicakian,notarized
<br /> tf aver$2548,a Notice of Commencement is required. (A/C upgrades over$7544}
<br /> "* Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized letter from owner autharizing same
<br /> 4VER THE COUNTBR PERMti'ttNG (copy af contract required}
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Driveways-Not over Counter if on.pubiic-roadways:.needs ROW�
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<br /> �::���.. -- ' � " ' -�,.�.,,.,,....,. � . � -. � �
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