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513a50-0020 City of Zephyrhiils Permit Application Fax-013-750-0021 <br /> Building Department <br /> Date Received Ad Phone Contact for Permittin <br /> -i'T iTf'T -- <br /> Owner's Name r, t� p go <br /> wner Phone Number ^3 <br /> Owner's Address�� i 1s k Sk uA' (, WJ 1S,—37,t` Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (()� )j tt <br /> JOB ADDRESS rJk P h I1S LOT# <br /> SUBDIVISION PARCEL IDU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN 0 Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM It� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK T -r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ^r't�'rr-r'r"f�rr-rt-rr'i-tr��'i'rr�-e-rr-1'rrt�rr'7'1"mr�-e- .. .. rr-i�rr`r�T"rr'I�n-re-re-lr <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ``$ AMP SERVICE Q PROGRESS ENERGY = W.R.E,C. <br /> ,QPLUMBtNG <br /> t �(iMECHANICAL $ ()o VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY L_.J OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> S[GNATURE ( REGISTERED I YIN FEE CURREt. I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE t REGISTERED YIN FEE CU(RREt�Y I N <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CU(R'REN LY I N <br /> Address i,"^ License# <br /> j_^ / <br /> MECHANICAL COMPANY J1/r F$ of <br /> J1 <br /> >>" /C�i� Q <br /> SIGNATURE ' REGISTERED I Y I N FEE CURREN i Y I N <br /> Address License# <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED Y I N FEE CURREt. - Y I N <br /> Address License# <br /> 1f111111Iflllli111i1iiitlll111111111Iillllii / 1t11 [ / lllill / llllil / it <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 wI Silt Fence Installed, <br /> Sanitary Facilities&1 dumpsier;Site Work Permit for subdivisionsAarge 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,Stonnwater Plans wf 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 /> .. . . 1-1-E1-1.�'-. . 5-:'-R.i-l-�i-1-N-'+-S-^C-rF e-�•i-i-1.�.�.L.i-I -i-t-i-t-i.i-S-'s-6-e-rl-i-'.�...�.• 1-�• <br /> Directions: <br /> Flit out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC 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 /> Retools If shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />