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Izi-isae0-0020 City of Zephyrhilis Permit Application Fax a1s 7aa a021 <br /> Building Department <br /> 01 <br /> Date Receivedrt =Rr � <br /> Phone Contact for Permitting <br /> ITiTe'[1-7- e^ Q <br /> Owner's Name G+ es j-, = Owner Phone Number V1.3 <br /> Owner's Address T 1�'c e `� �' Tc��Es� � '5�Owner Phone Number <br /> Fee Simple Titleholder Name `,+ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ,JOB ADDRESS" 12,73 LOT# <br /> SUBDIVISION t l a'�(✓�= eA C, PARCEL iD# <br /> (OBTAINED FROM PRO ERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> 8 " INSTALL. 8 REPAIR <br /> PROPOSED USE 0"f SFR 0 COMM . OTHER <br /> TYPE OF CONSTRUCTION . �' BLOCK FRAME STEEL . <br /> DESCRIPTION OF WORK �L <br /> BUILDING SIZE _ SQ FOOTAGE HEIGHT <br /> . -�-ir"r-e-t-a-u-rr>t-4-e-r-r-a-s"�-t-z-a-a-^r-t�r-a-;z-c�a-r- r-z;->n"c-�-a�u�-a-s�^a-�-a'-e-'a->;�'e'-u�s,�"r�c-�r-e-a�e•-�-�a� <br /> =BUILDING $ �1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $" AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING Is (� AID <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 � <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ��, _,, FLOOD ZONE AREA [ YES NO <br /> iF-A-;4_4-i_4_4_➢ -I-l-➢--9-I�- -➢-E--@-�}5-0-8-UI- h-I-�-@-➢:-i- -- - -F- 3- -i-6�@�s'r l�-�➢ - @�� -I @- - <br /> . .BUILDER* � - COMPANY �✓" - c) d-c+ "^�' =fin C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y IN <br /> Address %r '�r� l �� Cep .�-i ,� �" }e r�7 �. License# �� •�G, `� <br /> _r=LECTRICIA(J . , - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6'+� 7 J�=�v 0 � r � License# <br /> ,"PLUMBER L_.... COMPANY <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN Y/N <br /> Address X 1 �r`i : �c� trt�� ',� License# <br /> MECHANICAL ,ti CID <br /> MPANYr�1 <br /> SIGNATURE f �' .:"�C: -�^:—:]—REGISTERE6 Yi N FEE CURREN Y I N <br /> Address' ,%J '�a�„� f:sa a �,� '�� License <br /> OTHER. �� �1�/ � �pr •_fA <br /> • �Y ----r..•, COMPANY <br /> SIGNATURE pp �1 / REGISTERED Y/ N FEE CURREN Y/N <br /> Address lf`� ' ��1!"r�� 7 - � License# <br /> a <br /> ill*IL tl !' ! 11lIIII liitiliilliiiliitHilitt ➢ IiiiIIlltillii ➢ I15ti@ ➢ 1I'll <br /> "RESIDENTIAL Attach (2) Piot Piar.a; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10)%,orking days after submittal date. Required onsite,Construction Plans,51ormwater Plans w/Silt.Fence installed, ' <br /> Sanitary Facilities& I dumpster;Site Work'Permit for subdivisions/iarge projects <br /> COMMERCIAL Attach (2)complet(: 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)N f.)rking 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 /> SIGN PERMIT Attach (2)sets of Engineered Plans. <br /> "PROPERTY•St.!-gVEY required for all NEW construction. <br /> -8-6.-6.d.-8.�t-I-.i.-i--B.-Y-I-.I-.I.-G.-{_$-.::d6-1l-I-t4-I-I-I.-i.�1--I-.d...6.-l..t�-6.-b..d...i t--I-B-.B..k-6-I-4�.1�-'d-4mt�° .3-. Isd�9.�t�.�I�S�➢�.Q�&-�0.�. <br /> Directions: <br /> Fill'out application completely. <br /> Owner&Contractor sign back of.,)plication,notarized <br /> If over$2500,a Notice of Cornmuncement is required. (A/C upgrades over$7500) <br /> "* Agent(for the contractor)or Powm"of Attorney(for the owner)would be someone with notarized letter from awner'authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs"if shingles Sewers 'iervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />