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s,s-Aso-DDzo City of ZephyrhillS Permit Application t-ax u,s-tnu-uuz,i <br /> Building Department <br /> Date Received Phone Contact•,'forPenrnitting 1 <br /> _72 Ownees Name V Owner Phone Number �IS <br /> Owner's Address. ' �l Owner Phone Number ' <br /> Fee Simple Titleholder Name` ? c C Owner'Ption0 Number' <br /> Fee Simple Titleholder Address . <br /> JOB ADDRESS LOT# <br /> SUBDIVISION. PARCEL ID# <br /> (OBTAINED:FROM OPERTYTAX NOTICE) <br /> WORK PROPOSED. .. NEW CONSTR: ADDIALT 0. SIGN 0" DEMOLISH <br /> El. INSTALL B>. :REPAIR <br /> PROPOSED.USE. ' 0 SFR 0: 'COMM 0' OTHER '' <br /> TYPE'OF CONSTRUCTION 0'•. 'BLOCK 0 i FRAME Q. STEEL 0. <br /> DESCRIPTION'OF•WORK `eZ t <br /> BUILDINGISIZE SQ FOOTAGE 'J :HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 -W.R:E.C. <br /> =FLUMBiNG $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION <br /> GAS 0' ROOFING Q SPECIALTY. 0 OTHER <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER: COMPANY <br /> SIGNATURE REGISTERED I Y/ N:'=. 'FEE.CURRR� Y/N. <br /> Address ;License,,#' <br /> ELECTRICIAN ,COMPANY_ <br /> SIGNATU REGISTERED Y/ N ';FEE+CURREn:. <br /> RE <br /> Address` License# <br /> PLUMPERs.::`.. .: •CO2flPANY::' :' .' _.. . : . ..: • <br /> SIGNATURE"' ,. REGISTERED ._ ..Y/-•N,'' FEECURREI`:• Y/:N: - <br /> Address. License'# - <br /> .:- RAECH*AI:.,, <br /> 'REGISTERED <br /> `'SIGNATURE' " Y/•N FEE CURREh Y:/N <br /> ' <br /> Adiiresss7' License <br /> :;•COMPANY <br /> ""REG`I5TERED . Y�/.N FEE�CURREn' Y/N <br /> License`# <br /> i.�` nJ k:- - _ ^•/::o"Y,:--.-�: �•R:�?{:ter-'.:�'.n: ':leT.rr.:!:;,":i, _u11 _ - <br /> a .. i v f Ene kF' ri5is R-O?YILPemiit raeirir:coostrucUon,, <br /> �`RESIDtNTIAI , - :;Attar 2 Plok°;P-,lans:2setso#'Building Plans,(1)aet o rgy, o fo <br /> date''.yRe Uired'onsitw,Constructioir Planss' Sto[mwaterPlansw/SIItFenceinstalled;' <br /> Sartifa,_Facilities°&>1rctumpste.Si 'Work;Permit:forsutitlivisioras/ac e- roectsrr,:s`:''' '3;'- . <br /> n - <br /> oii�W1ERCIAL Attach(2)complete''sets of Building Plans plus a'Life°Safety'Page;'(9)set of Energy Forms R-O-W Permit fornew coristiuction <br /> _ <br /> =f Minimum ten(10)•working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.,installed,_. <br /> ' Sanitary'Facilities 8:1 dumpster.Site 1nloJk Perm[t for ellanew prof®cts:All commercial requirements must meet compliance <br /> P;RMIT '"At6ch"(2)"s`ets of Engfneeied Plans:?a b,: r:'a. <br /> ""PROPERTY SURVEY requlred,.(gr,.aII,NEW constiuction..... <br /> • ,• .. .a.r a••;s:.nip' <br /> - tairectlon"s. :�•�„s:: ,.:..rl',.- .. .... - <br /> FilP;out:appllcation•.compietely. <br /> Owner&Contractor sign:back of application,notarised <br /> If.ov`0r., 2500;.a•Notice�of:Commencement Is required. (A/C upgrades over$7500) <br /> '='•.'.` or-i'oWer of Attome' for the owner wduld'tie someone with notadzed.letter from owner authorizing same <br /> - nt(for ih`Wcontractor)! y( ` ) <br /> OVER 7HE COUNTER',,P,ERAALTTING::.:.,:,:,•-'..(copy of contract�required),� <br /> Fiing <br /> k,Reroofs.ifales ~``Sewiers .Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> needs ROW <br /> ;Driveways-Not over Counter if"on public-rea'dway§ <br />