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813-78"020 City of Zephyrhi!!s Permit Application Fax-e13480-0021 <br /> i Building Department <br /> Date Received ] <br /> Phone Contact for Permittin g <br /> ,. <br /> Owner's Name f tOV lda { }S 1�e� ' ah S Owner Phone Number <br /> Ownees Address G7�r� 1''+�U1t0+ 7t& % Owner Phone Number <br /> Fee Simple Titleholder Name �^ owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ` t {�� �^ <br /> JOB ADDRESS t CT� ! 1 f t'� C t_ � , y` LOT# <br /> SUBDIVISION PARCEL ID# 2)-Og©O-O jco"`OU7 <br /> (08TAINEDFROM OPERTYTAXROTICE) <br /> WORT(PROPOSED a NEw coNsm 8 ADDIALT �� SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK p FRAME Q STEEL = _ <br /> DESCRIPTION OF WORK 1os-b J d1 t)"Yj1n0( C /l'1C1i`7 M 0 '�'{ t ir C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $/31 (0 ! VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE C] PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION Q <br /> =GA5 Q ROOFING Q SPECIALTY = OTHER <br /> FINI HED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BILA <br /> UILDER COMPANY -- <br /> 1X b� SIGNATURE REGISTERED I YIN- FZE cuRREt- Y!_N -- <br /> ""\\\ t Address1 <br /> ELECTRICIAN L -COMPANY <br /> Address `l 1 t i OW Y / License# i7 <br /> PLUMBER - — { COMPANY <br /> SIGNATURE I REGISTERED I Y I N FEE CURRE11 LYLN <br /> Address - License#F— - ^� <br /> MECHANICAL. F <br /> - COMPANY — <br /> SIGNATURE REGISTERED YIN FEE CUR <br /> -RR'EI, Y 1 N�"' <br /> Address i License#l I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE cxIRREJ, <br /> Address -- Ucense# <br /> 11111111111l1 ! ! ! llll / ll / llllllill111111111iffill fill IIS1111111111lIt <br /> RESIDENTIAL Attach(2)Plat Plans;(2)sets of BuildingiPlans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum fen(10)vmrking days after submittal date. Required onsite,Construction Plans,Stormwater Plans vrt Silt Fence Installed, <br /> Sanitary Faci ifies&1 dumpster,Site Work Permit for subdivislonsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plan's plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worldng days after submittal date. Required castle.Construction Plans.Stomrwater Plans wl Silt Fence installed. <br /> Sanitary FadTiOes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compriance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> PROPERTY SURVEY required for all+,NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized j <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(tar the contractor)or Power of Attorney(tar the owner)would be someone with polarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sawers Service Upgrades AfC Fences(PlotlSurveylFootage) <br /> t <br /> Driveways-Not over Counter If on public roadnvays..needs ROW <br />