Laserfiche WebLink
B13-780-0020 City of Zephyrhilis Permit Application Fax-1313-780-0021 <br /> Building Department (f <br /> Date Received Phone Contact for Permitting <br /> Owners Name CJ' n / Q Owner Phone Number <br /> Owners Address / lam( Qr! ��• " �(S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /J/D LOT# J�� <br /> SUBDIVISION /�lHly d r�zdhs PARCEL ID# 3 y--�5 (W- — -3s&C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I '2)'�(k169 SQ FOOTAGE= HEIGHT <br /> -r^r . . . . . r^r•f-. . . . . . r-rr�-t�r-rrrrrm-e^err•r�rr•rye-rr�r•o•r. . . . rr-r-rr-r• <br /> BUILDING $ g S-0 OD VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1W l <br /> ... .-. .. ..' 'P�,/^-G- L•-,•..--...-�I . .�. .-. . .-. . .--rm5.'-. .. .--. .�4.. . . . . �. .. <br /> BUILDER //Y{� / � s ��MPANY �-� 1�j <br /> SIGNATURE / J REGISTERED Y/ N FEE CURRE� Y/N ��11 <br /> Address Set � /42 License# (J Q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly!N <br /> Address License# <br /> C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111IIIIIIIIIIIIIIIIIIIIIII <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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsliarge 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 dale. Required onsite,Construction Plans,Stonnwater 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 /> ditections:IaF-i•-1-1•-6-1-i-6-4-I-W-�-I.4-1-1-1-1--F-F-I-1-1--1-i-1�1-[-l-t-t--I-I--0-L-1•-�I-E-1-t•.1-1-1�-1�1�!•d-4.E=I--�1-6-L-6.-i-8� <br /> Directions: <br /> Fill out application completely. <br /> Owner&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 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(PloYSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />