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1593-780-0020 City Of ZephyrhillS Permit Application raX-t51s-10U-Uuc' <br /> Building Department <br /> w <br /> Date Received g , D. 22 �7 l <br /> Phone'ContactforPermitting �J3 <br /> +..AAAAAA _. <br /> Owner's Name Owner Phone Number I�J S <br /> Owner's Address. d,OboZ 3 'T m 1 .4 1) Av- qM /f-- Owner Phone Number <br /> Fee Simple Tltleholder'Name I Owner'Phons Number' ° <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSIL Y,,e e-� 7 �, (� �,i (� 3 3 LOT# <br /> SUBDIVISION PARCEL ID#: <br /> � csc��o —®� c --oa70 <br /> (OBTAINED,FROM P.ROPERTYTAX NOTICE) <br /> WORK PROPOSED. NEW CONSTR' ADD/ALT SIGN C] [� DEMOLISH <br /> INSTALL. B> °REPAIR <br /> PROP,OSED;USE- 0 => SFR 0: `COMM �� OTHER ' <br /> TYPV-0F cONSTRUCTi-oW 0'= BLOCK 0 'FRAME <br /> DESCRIPTION OF WORK Pck ✓ �!1 j��� �-1 SY� <br /> 2- <br /> BUILDIN 4 F G"SIZE SOOTAG•E HEIGHT.-] R2 <br /> f.��t ✓ � VALU O RICTIONATION'OF TTAL CONST <br /> K./ <br /> ELECTRICAL $ AMP SERVICE Q -PROGRESS ENERGY 0 W.R.E.C. <br /> QFLUMBING. $ <br /> j'QMECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION <br /> . I; <br /> Q,,`GAS 0. ROOFING 0. SPECIALTY. O OTHER <br /> FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER; COMPANY /'� �^• ©• �`� J <br /> SIGNATURE REGISTERED Y'/ N FEE:CURRE LY/N. <br /> Address License,# <br /> i <br /> :.'ELECTIi§..,N :COMPANY <br /> 'SIGNATURE REGISTERED I Y/ N ' FEEiWRREh:._ TY/N. <br /> •, <br /> Address :License#. <br /> PLUMBER! COf�PANY>. .. <br /> _., ..., <br /> SIGNATURE •REGISTERED Y/'N,::' FEE GURRE�:... Y kN <br /> Address. Lleerise;#` <br /> 77 <br /> :.:MECHANICAL"'', COMPANY _ <br /> SIGNATURE'°'°" `REGISTERED I Y/:N. FEECURREN: Y:/N . <br /> AdriPltssi License.#.. _ <br /> OTHER';t COMPANY <br /> -":SIGNATURE.;r ry. >^• " " REGISTERED Y/N FEECURREK Y/N <br /> [77— <br /> ,: <br /> .� <br /> A- <br /> d dreSsr„ tiaro'e`'r'_ :a;:y.r<i _ r.'• License# <br /> + <br /> RESIDENTIAL. . A ctu'2,PIoxPaans;=:2 5e o Bulldin`zpians, 1 set f-Ener Forms;R-0=1NPe "otfo ew;. nIII <br /> liAinimurrt3ten�(t1.Q);y�ofJcingftlay aftersg�IbmittaI.data.,Required dhsltk—,1`19tructlon'Plans;StoffiwaterPlans w/Silt Fence installed;' <br /> Sanitary,FaGllties&1 dumpste�,StlegbWoriG Permltfor sutidivlsiorj Barge projacts� <br /> rCOMMERCIAL Attaoh�j2)'cc nplete'sets ofS-dI1 1hj' Plans plus a Life Safety Pag e;(1)set of Energy Fomis.R-O-W Permit for haw constriction. <br /> Minimum ten'(10).working.days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/'Silt Fence.,Installed, <br /> Sanita Fatalities 8�:1 dum ster.Site Work-Permit f&,WI-,new:. ro ects-.All commercial re uirements.must meet.com liance <br /> ry P P J q R <br /> r rSlGtd;'PERNIIT "A(Each`(2�sets;ogEr�gineeredPlansis:-; <br /> ` ""PROPERTY SURVEY required.Jor.gll,NEW,construction, . <br /> ole.46 Mist <br /> Fllloutapplication completely. <br /> 'owner.A Contractor-sign:back of•application,notarised <br /> -if:oven$2500;.a Notice df.Commencement Is required. WC upgrades over$7500) <br /> :A ent'fo"th's.-' tractor aor Powerof,Attome` fbr'the owner would'lie someone with notarized,letter from owner authdrizin same <br /> %:I ?OVER;T.HE COUNTERp'PERMITT,INrt,:.;. _;..(coPY ofrocontract regwired)' �' ''`" <br /> .,Reroofsifatiingles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter Won publlc`fdadways:n'eeds'ROVU <br />