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593-78U-UU20 City of ZephyrhillS Permit Application rax-o w-rav-vvr_ <br /> Building Department <br /> s <br /> Date Received Phone Cbhtact'for-Permittin <br /> f� 9` <br /> Owner's Name EP G( S 0-C.M ze. Owner Phone Number , <br /> Owner's:Address, :J J t� �.. Owner Phone Number <br /> Fee Slmple'ITitleholder:Name a Owner Phone Number . <br /> Fee SimpieiITitleholder Address <br /> JOB ADDRESS } �L LOT# <br /> SUBDIVISION- PARCEL ID# a( Q 6 <br /> (OBTAINED PROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTRf4_ ADD/A SIGN y Q DEMOLISH <br /> INSTALL 'REPAIR <br /> PROPOSED,USE = SFR -0: COMM = OTHER <br /> TYPE`OF CONSTRUCTION BLOCK 0. FRAME = STEEL-_.�. <br /> DESCRIPTION"OF WORK e U-) A <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "BUILDING $ / VALUATION TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANIC AL $ VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING =- SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ,BUILDER COMPANY ,-Lkl Rp4,Y1 YIS�'ISC�-)v <br /> SIGNATURE REGISTERED N: = FEE CURREN Y' �1 <br /> Address License# <br /> :'ELECTRI,CI74N: COMPANY <br /> SIGNATURE REGISTERED Y/ N . ;FEE%GURRER : ' Y/N <br /> Address' - License# <br /> PLUMBER,, COMPANY <br /> SIGNATURE REGISTERED Y/`N?'.`., -FEE C, URREN Y/N <br /> Address License#;. <br /> MECHANICAL COMPANY•, <br /> SIGNATURE'°' REGISTERED Y/.N FEE CURREh. .: ..' Y/N <br /> Addr®ss'::, License.# <br /> OTHER`.., a ='COMPANY <br /> SIGNATURE;:.:;.i ; •. - REGISTERED Y/.N FEE CURREA" <br /> Address=:.;, - ;}:_ Licensee# <br /> RESIDENTIAL.^ =Atta'ch'2, RlotP,lans`'2 se'-ofi'Buildi" ,I <br /> __ _ _ ._,(,), _ O. ts_ ng P ans,(1)set'of,Energy Forms;R-0-1N PgtmItfo'r'new.constniction, <br /> :.,.: :ten;.(1,Q)iworking?'days'safter sutimittal;date: Requiretl'onsite Goristruction Plans;Stomiwater Plans vir/Silt Fence.installed, <br /> Sanitary,.Facilitiesz&1ti dum gte,,;Stfe Work P,ermitfor ubdivisions/la e' �o ects':;; <br /> COMMERCIAL. Attactr(2)`c6mplete'sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for�new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,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 /> i ;.S11OWPEWIT Attach-(2)sets:,of Eneered - <br /> ****PROPERTY SURVEY requtrgO,for•.all,NEW construction:,. <br /> - <br /> 'FIII-:outappllcation completely. <br /> .Owner'A-Contractor sign-back of application,notarized <br /> -If over:$2500;.a Notice.of:Commencement is required. (A(C upgrades over$7500) <br /> Agent:(fo`r�the;corftctor)'or°Powerof'Attomey(for'the owner)wouldl a someone with notarized letter from owner authorizing same <br /> - OVER',rHE 000N 1 ER PERMITTING::,.;. ..(copy of contract.required) <br /> ''Reioofs ifafiingles Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driv®ways-Not over Counter if on public roadways:needs'ROW <br /> i <br /> i <br />