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013-750-0020 City Of Zephyrhilis Permit Application Fax-013-760-0021 <br /> ` Building Department <br /> Date Received' phone Contact for Permitting <br /> 't-r'rrr rt r —�"' _ <br /> Owner's Name ,.!P W t Owner Phone Number <br /> Owner's Address JR 5 =� 56-ee 7 1{fS) � 335� Owner phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS — r -�ff, LOT# <br /> SUBDIVISION �i PARCEL to# ! a�lP o�1-00 q WO "0-19 <br /> (OBTAINED FROM PROPERTY MM NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM lJ OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK rt V J 1 <br /> BUILDING SIZE 1 SO FOOTAGE HEIGHT <br /> 'T'C.T'f"ITR7"IT'tTT'►TPf'TI'T�"TfT'1�1"t�ITll�r'1"ITT1'I�PIT'1'TITT�TPTI"1"f"'ITT�Trf'TITR'T <br /> =BUILDING ($ - VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ��$i AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. . <br /> =PLUMBiNG �� , <br /> MECHANICAL $ {{�� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> 3-S.�'-t-. .. Fri-i-i-6�i�i�a Fl.i-i.4i..M {•4-I-6-i-I-i�t-i-I�i-i-�.-r.-�• t-i-t-i-i-1-i-1-i-i-{+i-1-{-8-1-'r.0+y-S+ <br /> BUILDER COMPANY <br /> SIGNATURE ! REGISTERED YIN FEE CURREh I Y f.N <br /> Address License# 177 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE f REGISTERED I Y 1 N FEE CURRER Y)N <br /> Address License# ��� . <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN. FEE CURRER, -YIN. <br /> Address -- r ^� License# <br /> MECHANICAL COMPANY <br /> SIGNATURE 7 REGISTERED Y/N FEE CURRRER Y/N L' <br /> AddressFA-ok i po Z--egy..."•l.33 License# <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURRENj— <br /> Address License# l <br /> Illtittliitiiitttttltttitiit !-Iliitliltt1i11t111t / Illttttltilit / i / tt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requited onsite,Construction Plans,'Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler;Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complets sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans: <br /> —'PROPERTY SURVEY required for all NEW construction. <br /> .I 1.#.I�l�i-N-ft4.1- t-.-. .-,`-'r.-t ..t-l.i-I.i-i�I.i�.� <br /> Direction's: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rercofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />