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573-7a":2 City of Zephyrhiils Permit Application <br /> ----�-..�X-81�-yea-oozl <br /> 1! Building Department <br /> Date Received °�--�Zr�(� Phone Contact€or•P n - <br /> Owner's Name c r OF J+ 14 �_,11-5 . Owner Phone Number . <br /> Owner's Address . �7 t Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADOREss q 31 <br /> 7 r 141? e FL 3 3 `�� LOT# <br /> SUBDMSION PARCEL 10# <br /> (OBTAINED FROM PROPERTY TAX manCE) <br /> WORK PROPOSED NEW C0NSTR'8 ADD/ALT } SIGN 0 Q DEMOLISH <br /> INSTALLREPAIR <br /> PROPOSED USE. Q SFR Q. -COMM Q OTHER ' <br /> TYPE.-OFCONSTIft-nON- [] BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> Bt7tLlitNG StzE SO FOOTAGE HEIGHT <br /> =BUILDING ..., $9 ow . ®o VALUAI'10iq'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ (,-1 3V ni <br /> , }o <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION p� 2- f+lf- <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO l/ { <br /> .BUILDER > L <br /> COMPANY... T'� WO e'X <br /> -SIGNATURE r�-. REGISTERED Y/ N FEE CU(R n' <br /> Address 1" S! ]� U 'License# i 1 ,L•( ,96Y 7 6 <br /> ::'ELI:CTR1it1AN COMPANY <br /> :::SIGNATURE REGISTERED Y/ N- ' -FEECURREA <br /> Address' License# <br /> .PLUMBER COMPANY. <br /> :SIGNATURE ` REGISTERED Y•! N FEE CURRER Y/N <br /> Address Ltcertse# t <br /> ,'-MECHANICAL V. COMPANY. <br /> '`''SIGNATURE REGISTERED Y/•N FEE CU(RRREEn'� <br /> Addret#s- License# f I <br /> OTHER:..'::;..: COMPANY <br /> SIGNATURE;:;:;*:. REGISTERED Y/.N FEE(:U[RREN . I YIN <br /> License# i <br /> r'. <br /> f SiDleMi l4Lr ac j;PE0t1?lansi-�2j'ftV,6f Buiftlirig P'lane;(1)set Hof-Eneigy Forms;RzU W Peimft for•ne�i+r.cCnstruction, <br /> <,.� ,.�,i „I!! (t�:� wing`xlay#aftetsCibra�tta1edate. Requinadroeslte;'Con tNnttorrPlens;anti rmvrater f�ia:69 w/Sllt FencaInsta(ied, <br /> Sani ;,,�ad�ttes•�a • um steT.�Wark;P�m�_ltft►r,sut�divtsiorr;�llstge�rt�l3Gt,,':...'; ' <br /> frCifflMERC1At Attarir�t i�le3't��ai'i3iittilfh"g Puns pftis a Life Safetyi Page;(1)set of Energy'Forms.R-O-W Permit for new constriction. <br /> Minimum ten(10)wodc(ng days alien submittal data, Required ortslte,Cons <br /> ttuction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work.Permit Ibt i i'new projects.Ali commercial requirements must meet compliance <br /> 1GN:PERMIT Att9dil2)'setsof1i�}naered;Plans.= <br /> ' ""PROPERTY SURVEY required for all NEW construction, <br /> >Flll bW application completely. <br /> '`Owner iL Contractor sign-back of application,notarized <br /> ff over.$2500;*.Notice of Commencement is required. (AIC upgrades over$7500) <br /> ltgent.{fai�r�€d$or)Vr ftwer of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> C ER:THE-COUN;SR,:,PERJNI.TTINO-, (copy.of,eontract.required) <br /> "fteals if'shlrigles Sowers 'Service Upgrades AIC Fences(Ptot/SurvevlFoetaael <br />