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s��-�eaoozo City of Zephyrhilis Permit Application Fa�c-a�saaaooz� - � <br /> ;, � Building Department <br /> n <br /> Date Received Phone Contact fo�Pertnitting � '""��b —�. � <br /> OwnetsName � � OwnerPhoneNumber �"�t�lf/ "[)7� <br /> Ownets Address � r� Owner Phone Number � � <br /> Fee Simple 7itleholder Name �_ � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOii ADDRESS � � l.OT# �� <br /> SUBpIVISION � � PARCEL ID# <br /> {OHTAINEO FROM PROAERTYTAX NOTIGE) <br /> WORK PROPpSED e NEW CON57R B ADD/AL7 � SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q GdMM [� OTFiER <br /> TYPE OF CONSTRUCTION �] BLOCK Q FRAME C�] S7EEL Q <br /> DESCF2tPTiON 4F WORK �� � —� � - <br /> BUII.pING SI2E � � SQ FOOTAGE HEIGHT � I <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �-�} AMP SERVIGE 0 PF20GRESS ENERGY Q W.R.E.C. <br /> J <br /> �PLUMStSUG �r��,�e�� <br /> V <br /> QMECHANICAI. � � VAI.UATION OF MECHANICAL INSTALLATION <br /> QGAS Q F200FING Q SPECIAI.TY � QTMER <br /> FINISHED FLOOR EIEVATiONS FLOO[?ZOhlE AREA �YES N4 <br /> BUILDER QOMPANY � <br /> SIGNATURE �— � REGISTERED Y/ N FEE GURRE� Y/N <br /> Address Ucense# �� � <br /> ELECTRICIAN � � COMPANY � <br /> SIGNATURE � ( REGiSTERED Y I N FEE CURRER Y 1 N <br /> Address License# � � <br /> PLUMBER ��JJ ,,,,,,yy COMPANY �l Y'� ��f„�5 � <br /> SIGNATURE �/�'��„�� RE4ISTERED Y/ N FEE CURRE� Y/N <br /> Address � �. ��� Ltcense# ll�Q �„p <br /> ' MECHANICAG CQMPFINY �- � <br /> StGNATURE REGISTERED Y1 Sd FEECURREh Y!N <br /> Address License# � � <br /> OTHER COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br />' 1111111111111111111111111111111111111111111111111111111111111111111 <br /> , RE3IDENTlA� Attach(2)Plot Plans;(2)sets of Building Plans;{�)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10}working days after'submittal date. Required onsite,Cansfrucfion Ptans,Stormwater Plans wl 8ilt Fence instalted, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attech(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fartns.R-O-W Permit for new consVuction. <br /> Minimum fen(14}workittg days sfter submiitai date. Required onsite,ConsYruction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Faciiities&1 dumpsfer Site Work Permft for ati new projects.Att commerciai requirements m�s#meet compiiance <br /> SIGN PERMI7 AttBch(2)set8 of Engin80fed PIat13. <br /> I ""'PROPER7Y SURVEY required for all NEW construction. <br />� . .. . . . . . . . . . . . . . . . . .. . . . . . . . ... . . . . . . . . . . . <br /> ... . . . . . . . ... . . ..... . . . . . . . . . . � <br /> Directions: <br /> Fill out application completely <br />� Owner&Contractor sign back of applicaHon,notarized <br /> i tf over$2fi00,a Nattce of Commeacement is required. (A/G upgrades over$750Q} <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same � <br /> OVER THE CpUNTER PERMITTWG (copy of contract required) � <br /> Reroofs if shingies Sewers Senrice Upgrades AIC Fences{FIoUSurveyJFootage} a � <br /> Driveways-Not over Counter if on publio roadways..needs RdW ' <br />� <br />