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Fay slaaso-oa2� <br /> City of Zephyrhilis Permit Application, <br /> A Building Department <br /> Date Received Phone Contact for Permitting 3i <br /> Owner's Name ` - Owner Phone Number 10~ 7 r <br /> 9 <br /> Owner's Address 6,t�? �A 0 Ci r f— Owner Phone Number,* <br /> Fee Simpte:Titleholder Name Owner Phone Number �— <br /> Fee Slmpie Titleholder Address <br /> JOB ADDRESS Vdl LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED. NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q;J, BLOCK [� FRAME STEEL Q <br /> DESCRIPTION OF WORK a�6-6 0-Is,I #� i�T1� D'UC1 /f�C' C ) <br /> BUILDING:SiZE U SQ FOOTAGE HEIGHT Z <br /> QB"UiLDiNG VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ � <br /> - a tee v <br /> P � <br /> MECHANICAL $ t VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -_.BUILDER---- -^_- — -— '- -- - .--COiaiPAi�iY_,__ - <br /> SIGNATURE REGISTERED . Y/ N-, FEE CURREN Y/N <br /> Address License# <br /> ELECTRIC[AN COMPANY <br /> "SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN <br /> Address License# <br /> MECHANICAL r COMPANY f lri~n7iWI Let) <br /> SIGNATURE:. REGISTERED / N FEE CURREN L<=N <br /> Address License# CAE j j �� <br /> OTHER;-.--' . -COMPANY <br /> SIGNATURE REGISTERED Y/ N�j FEE CURREN Y/N . <br /> .Address License# <br /> RESIDENTIAL Attach..(9):Plot_Plan s;:(2)sets-of Building Plans;,(1).set.of EnergyForms;R'O=W.Permit.fo�-rieuv.cons#ruction,. <br /> Minimum ten-(10)working days after submittal date: Required onsite,Construction Plans;Stormwater Plans., i%.Sift Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonsflarge projects <br /> COMMERCIAL Attach(2)complete 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 date..,Required onsite,Construction Plan-s,,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 /> ---------------- <br /> 17irecttons: <br /> FllLout application completely. <br /> Owner 8i Contractor-.sign.back of application,notarized <br /> If-over$2500,a Notice of Commencement is required: (A/C upgrades over$7500) <br /> «« Agent.(for-the contractor);or Power of Attomey-(for the owner)would be someone with notarized letter from owner authorizing same <br /> tiVERTHE,.COUNTER PERMITTING (copy of co wired) <br /> Reroofs:if shingles Sewers Service Upgrade A/C. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />