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etaaeo ao2o City of Zephyrhilis Permit Application Fox-613.780-0021 <br /> Building Department <br /> Date Received <br /> -i Phone Contact for Pemrtilln p. ¢ <br /> Owners Name a rs Ors Owner Phone Number <br /> Owners Addresi ' eggOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS (YJ t r co, ^ /LOT# �cy�yq <br /> SUBDIVISION (�'�r PARCEL IDit 4-d Sr L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT = SIGN 0 = DEMOLISH' <br /> l/ INSTALL e REPAIR <br /> PROPOSED USE = SFR Q GOMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL gar t <br /> DESCRIPTION OF WORK <br /> BUILDING SRE SO FOOTAGE �. HEIGHT], <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> 7ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . ._. . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LMN <br /> Address Llcenae# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREA Y!N <br /> Address Lioonsepfl <br /> NIECHANICA - COMPANY <br /> SIGNATURE ,�1' REGISTERED Y W FESCURREr N <br /> Address [� • ' `—e nse tl V <br /> OTHER COMPANY OCR <br /> SIGNATURE REGISTERED N FEE CURREA I UN - <br /> Address License A <br /> 1 [ 1111111111111111111111111111111111111Tllllllllllllllllllllll•11111 <br /> RESIDENTIAL Attach(2)Plot Plane;(2)sets of Building Plane;(1)set of Energy Forme;R-O-W Permit for new construction, <br /> Minimum len(to)worldng days after submittal date. Required onsite,Construction Plans,Slormwaler Plane w!Sill Fence Installed, <br /> Sanitary Facilities&1 dumpater,Site Work Permit for subdlvieionellarpe projects <br /> COMMERCIAL Attach(2)complete sate of Building Plans plus a Life Safety Page;(1)set of Energy Forme.R-O-W Permit for new construction <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plane,Stormwalor Plane w!SIR Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for o0 new projects.Ali commercial requirements must meet Compliance <br /> SiGN PERMIT Attach(2)sets of Engineered Plans, <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dinctlonst ' <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$I500,a Notice of Commencement Is required. (A!C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized latter from owner authorizing same <br /> OVER THE COUNTEIYPERMITTING (copy of contract required) <br /> Rercofs if shingles -Bowers Service Upgrades AM Fences(PIDtlflurvey/Foolege) <br /> Driveways-Not over Counter B on public roadways..neads ROW <br />