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813-78D-DUM City of Zephyrhilis Permit Application rax-oi�-rou-uuri
<br /> Building Department
<br /> Date Receirrrffrrmved Phone•CbntaefforPermitting.' '7 d v S
<br /> Owner's Name ,{ VYl a(teT Owner Phone Number 13—Al 7 - /9��
<br /> Owner's Address• J (�14 Owner Phon®Number: ' Zf l3' 3L ZZO
<br /> Fee Simple Titleholder Name Owner'Phone Number'
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS
<br /> '3�5. I 1 �"� ✓� GAP. 'l u� bs �L R LOT# .
<br /> SUBDIVISION' PARCEL-'ID#'
<br /> (OBTAINED_FROM'PROPERTY.TAX NOTICE)
<br /> WORK-PROPOSED NEW CONSTR` AD.D/ALT SIGN [ Q DEMOLISH
<br /> INSTALL R-- REPAIR
<br /> PROPOSED:USE ' 0 SFR 0' :-COMM Q' OTHER '
<br /> TYPE'•OF toN$TRUCTION 0" BLOCK ':FRAME 0_ ` STEEt. _:
<br /> DESCRIPTION OF WORK .JF- S; 00''
<br /> 13 BUILDINGSIZE SQ FOOTAGE L HEIGHT:,
<br /> .u..
<br /> =BUILDING $ �� '0G VALUATION'OF TOTAL CONSTRUCTION • "
<br /> r
<br /> =ELECTRICAL $ AMP SERVICE -PROGRESS ENERGY 0 -W.R.E.C.
<br /> 0'PLUMBING. $
<br /> =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION .
<br /> =_OAS Q. ROOFING- Q SPECIALTY. Q OTHER
<br /> FINISHED:IFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
<br /> :BUILDER COMPANY
<br /> SIGNATURE J REGISTERED Y-/ W'_ ': :FEE,CURREN Y/N.
<br /> 771 ,
<br /> Address Iacense,# ,`,
<br /> ' ELECTRICIAN. ,;; .. COMPANY
<br /> _:.SIGNATURE- REGISTERED Y/ N ' '•FEE CURREh: Y/N.
<br /> Address; :`License#,-
<br /> PLUMBERi. COMPANY
<br /> SIGNATURE ' 'REGISTERED Y/'N._' ' .FEE GURRE� Y/N. = .
<br /> Address. :. LlCense#
<br /> MECHANICAL" ;,COMPANY
<br /> SIGNATURE�'' '` - REGISTERED Y/.;N FEE,CURREN:
<br /> AddP s}rj,.;...
<br /> Llcens®.# .
<br /> w
<br /> ;OTHER`:. COMPANY
<br /> :-`:SIGNAThUREa,x^ "REGISTERED Y/:N FEE=cURREN Y/N
<br /> Address..:;,_. : , ,1::.,:,;:.�:.c1
<br /> _ License`#
<br /> R_ESIDENTtAL . .�Attach.r 2r YPio#�Pians-:r2 �ets.o�60`1411606s,�,+ ?set o6-Ene' :Forinsp-R Q-1N.Pemilt r�aew;construction;�
<br /> ni u ten=1U. `o'.'in"'r a ,afteti ubrti'ttai date sRe wired onsite Construction Plans;Stol'rnwater Plans w/•Slit Fence.installed;`„.
<br /> ,.,..,... ;;u -
<br /> �.i�!,.rhr.
<br /> - Sani r,.,acuities;&i$T;d' z roects,:=
<br /> '<<C:OfwRIlERC1AL Attaoh��(2)complete'setsrofT31311ding Pians plus a'Life rSafety`Page;(1)set of Energy Forms.R-O-W Permit for new constructions
<br /> Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,
<br /> Sancta Facilities&I dum ster.Site Wo, Permit fof all=new: 7o sots.All commercial requirements must meet compliance
<br /> SIGN!:P1RilAIT `Attao?i( `setgl s EQg(neered PlarsG• r ':vr: f. . _. `
<br /> ' ****PROPERTY SURVEY r®qulred for•aII,NEW,constructlonl .,
<br /> application.completelY.✓
<br /> Owner'&�Contraotocsign-back ofapplibation,notarised
<br /> If over:$2500;.a Notice of.Commencement is required. (AfC upgrades over$7500)
<br /> ent fbt1thd.con'tracCg ror>Power-of Attome' for the owner would'tie'someone with notarized letterfrom owner authorizing same
<br /> t. .: ... ..9 ( .., ).: YY ):
<br /> OYERiTAE C1aUNTER+',P-, RMITTING opy.of contracttrequlred)�`:
<br /> r;.r;...p.. . :. r. ...,��. , ...
<br /> ,>.Reroofs`itstiingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> ;Driveways-Not over Counter Won publib roadway`_ni�""eeds ROW' _... :...r,
<br /> . � it•;;�.,, .. , .: ,r, ,..._, _ _
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