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_ _ _ _.� ,> ^ � ` <br /> � s�3aao-oozo ` City of Zephyrhilis Permit Rppli t on�- _Y ��_ F 1aa�ao=oo2� <br /> - ' '"� Building Departm�nt- ' .��,• <br /> � <br /> Date Received Phone Contact for Permittin - _ ? <br /> 9.� <br />_ Owner's Name r. �r S Owner Phone Number �f�3 "" � 5 - ( 2� � <br /> Owner's Address Z U � '�`„ Ouvner Phone Number <br /> Fee Simple�Titleholder Name P Owner Phone Number <br /> { - , <br /> Fee Simple{Titleholder Address <br /> � �JOB ADDRESS � �} V+�� LOT# <br /> i <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B . NEW CONSTR e ADD/ALT � SIGN Q � Q DEMOLISH <br /> i <br /> INSTALL 'REPi41R <br /> PROP,OSED USE Q SFR Q COMM Q OTHER . <br /> TYPE'OF CONSTRUCTION Q BLOCK • Q, FRAME 0 STEEL Q <br /> { ' 9 <br /> DESCRIPTI,ON OF WORK C'_.�(�U� � S �f (1 �e <br /> i <br />' BUIL"DIPIG�IZE SQ FOOTAGE� HEIGHT • <br /> BUILDIIVG $ VALUATION'OF TOTAL CONSTRUCTION <br /> 0 ��� <br /> , � , <br /> QELEGTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ,� <br /> QP4LUMBING $ ' <br /> i <br /> t � I <br />, OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � <br /> I <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> t <br /> � <br /> ! <br /> � <br /> BUILDER : COMPAtdY <br /> SIGNATURE � G.d-R---�- REGISTERED Y�/ N FEE CURRE� Y/N I <br /> s <br /> Address -License# <br /> ' � <br /> $. <br /> :="ELEC7RI,GIi4N .; COMPANY <br /> �..'SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> ' Address - License# � ' <br /> Ptl1MB.E,R�. - COMPANY . <br /> SIGNATURE, REGISTERED Y.•I N ` FEE CURRE� Y/N <br /> -s <br /> /Address License# : <br /> � � i. . <br /> MECHANICAL � _ COMPANY - <br /> SIGNATURE'" � REGISTERED , Y/ N'- . FEE CURRE� , Y/N ' <br /> , �. , - <br /> Addre§s�' � � � " ' License.# <br /> �;i�- .� .. <br /> .. OTHER:; ;:�: . � C;OMPAfdY - <br /> '�"SIGNAT.URE�;a_ z -, - • " REGISTERED Y/N FEE CURREK Y/N <br /> Address: . - - _ . � • � � License# <br /> „� <br /> :�RESIDENTIi4L�.���` .Attacfi,(2)�:PIot:P.lari's;;(2):sefs�of=Building�'Plans;(1�)°set'of�Energy:Form§;R=O-W.Permit�for new constiuction, <br /> -y'l�.�,_,�_:,�_�;Minimum;ten�(:1Q);working;days aftersulimitta�=date.'Required'onsite;`Constriic�omPlans,`Stormwater Plan`s w/Silt Fence installed, <br /> - .. Sanitary,�,F'acitities,8��41;,dumps;e�;Sife:Wo[k Permit forsybdivisions/large;projecfs'- �� _ � - <br /> ;��::COMMERCIAL Attach�(2)'complete sef,s of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W 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 fo�'all�new�p�ojects.All commercial requirements must meet compliance <br />. :;`�SIGN:PEi2iNIT "Atta6F►(2)sets;of,Engineere.d Flans:��� ; <br /> __ *"'"PROPERTY SURVEY,required for.all NEW construction._ . <br /> `Dl�eCtions:, _ :E•, . <br /> - � Ffll:out:application completely. , <br /> Owner`&,ConVa�tor sign back of appllcation,notarized <br /> ' If ovec�$2500;a Notice.ofCommencement is required. (A/C upgrades over$7500) <br /> r. <br /> .- " AgenY(forffie`conf�actor)or•Powerof Attomey(for'tlie owner)would be someone with notarized letter from owner authorizing same <br /> ::OVER.THE COUNTER�PERMII'TING. (copy_of-contract�required) ' <br /> '"Re�oofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> _ Driveways-Not over Counter if on public roadways..needs ROW <br /> �-= <br />