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City of Zephyrhilis Permit Application FaX a1a-Tao-oo21 <br /> Building Department <br /> • —" ,��':< P�e�2�d d^�'r-'� r°�rig•-' ��^^�`�a c'�.' �""'n <br /> Date Received Phone Contact for Permitting - <br /> -iTr-r-x I Il�_ <br /> Owner's Name5- rs �= Owner Phone Number �! <br /> r•� y �• a��. <br /> Owner's Address (csi�+�oS���'� �="� '�' �''� �'��^!��''�� '� Owner Phone Number <br /> Fee Simple Titlehoider.Name Owner Phone Number <br /> Fee Simple Titleholder Address 9 •" <br /> JOB ADDRESS V�LI J LOT# <br /> SUBDIVISION <br /> ✓ .�� PARCEL ID# 1Sp O - b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F_9— SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION • BLOCK 0 : FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �"1�'t" i -r��• ' .ck"i Z_ 614)-t 54 <br /> j BUILDING SiZE SQ FOOTAGE F 1�L. <br /> HEIGHT <br /> r-r-r- -z-r-rrm-r-tl-r-ri-i--rr�-c-ci-r-c-s-r rrl-l-a-r4-r-mrr-rrI a A ar- <br /> =BUILDING Is b 51 coo I VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRiCAL $. _ j COO AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> OPLUMBING $ .}l,3 00 , <br /> =MECHANICAL Is 51 co C) VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EE" ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 109.90 ^ FLOOD ZONE AREA OYES NO <br /> -C-+C-- -i-i--0- -II-i-'-1--¢-A-F--C-C-C-G-i-i-C-O-i-:-t--C-64r44-4-6r-'*--11 1a-:-1-fe=r¢-1+-i-v-:-i-1-� -"r-�r-9--6, ,:-C-1-- t-1{-t--*- <br /> BUILDER 67-11 COMPANY 4 p -�-""�" ae c <br /> SIGNATURE REGISTERED Y( N FEE CURRER Y/N. <br /> Address %a'��G',Q )-c-1 r-<70,ram License# <br /> .FLECTRICIA(J � �m-� *' -- COMPANY G'�e�'`�' o gl d'1c 6-9 <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N / <br /> - Address License# <br /> --� �•' ' <br /> PLUMBER �C ��-��^.�'" ...r. COMPANY <br /> .SIGNATURE ^� REGISTERED Y/ N FEE CURRER^ Y/N <br /> Address f� i13 f � , -i 2l /T��C!� ` License# a( c F 2, A` <br /> irS .., <br /> MECHANICAL COMPANY <br /> SiGNA7l1RE f .-- _ .REGISTERED Y/( N FEE CURRER Y/N <br /> Address 1��7,� � / � fix*' f �a a "c1r.•tf1` s License# �!� l' I <br /> OTHER COMPANY <br /> / <br /> _SIGNATURE REGISTERED Y( N FEE CURRER Y/N <br /> Address 'd N c� <br /> 3'���_4�rt� /�k`€n=- ,�1•' �,a��<�� License# <br /> Itltlili► t' litlilltiitiltltililiiitttlilltlllt1111111 •lit"tl• itlli � illlll <br /> RESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit.Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work'Permit for subdivisions/large 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 Plans,S4ormwater Plans w/Slit 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 /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commemcemeht is required. (A/C upgrades over$7500) <br /> ?1* 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 /> Reroofs•if shingles • Sewers - Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />