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City Of Zephytills Petmit Application Fax-B13-760-0021 <br /> Building Department <br /> Date fleceived t �" 3 o ,tt• o?. *` sa'} <br /> Phone Contact for Permitting -- <br /> Tl�1-i�-fZZ <br /> Owner's Name Owner Phone Number �� l 4� fJ <br /> Owner's Address ' �' T �"E� !Owner Phone Number -- <br /> Fee Simple Titleholder.Name �. �� +� Owner Phone Number <br /> Fee Simple Titleholder Address 2 <br /> JOB ADDRESS v(- © LOT# 1 <br /> SUBDIVISION C_� PARCEL ID# L' r 1S oo400 �G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEw CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL. • REPAIR <br /> PROPOSED USE ®" SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION , [ � BLOCK �] r^:� FRAME STEEL p <br /> DESCRiPTiONOFWORK ��i � � t�'TeY►� � Js��(�,' c C :< �^� -� c"�` <br /> BUILDING SIZE SQ FOOTAGE $2� �` f HEIGHT <br /> �-a A it r-t-r 'r-rrr-rrc"rr�r•e-o-r-�-o-r-e"r�Q-r- <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> = LECTRiCAL $ � AMP SERVICE [� PROGRESS ENERGY [� . W.R.E.C. <br /> !_ 0 <br /> . --;---- <br /> =PLUMBING $ <br /> i <br /> =MECHANICAL —� VALUATION OF MECHANICAL INSTALLATION$ <br /> OGAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS DL} FLOOD ZONE AREA OYES NO <br /> .-O•fi-.�.Q-:1_g-�-�{-¢..�.-1-a-�-r-{�-;.-w-a-}..s-�..:-O-�-Q-r-1-;r-F•1-c-:-:�l-l-;•-;P•!�1-•F•:-i-"-i�-a-s-��' '�1-a-�•oi�i-�r•�.�ia-i--i-1-1�2.. <br /> BUILDER COMPANY !` - �c) - ' ""`' )' <br /> SIGNATURE REGISTERED Y I N FEE CURREN Y/N <br /> Address Jr� �7v`? 1•='/ir co.,,7 License# <br /> FLEC17RICIA1+1 � � , - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6� -%' PO ,r � License# �� � <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � � f - r� lt�r��'r .! ­ License# <br /> MECHANICAL COMPANY �itJ� * + �/� " dd " <br /> SIGNATURE (� � = ' �4-^�^ REGISTERED Y// N FEE CURREN Y/N <br /> Address ,,,,�'.s".. �.A �a,,a�'�r.�tf �i�� License# I Clic 0 .,.r' <br /> OTHER F- --.. COMPANY � .���/il �- `rk . <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �i-��f / � � � License# <br /> ilillllltl' IIIIII11 � 11 ! ! ! lllil ! ! lllliilitlllitll1111litit•! lltitltttil <br /> RESIDENTIAL Attach(2)Plot Plan,::; (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!Silt,Fence installed, <br /> Sanitary Facilities& I dumpster;Site Work'Permit for subdivisions large projects <br /> COMMERCIAL Attach(2)compiett. 'ets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new-construction. <br /> Minimum ten (10)\ )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities o.1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of E:,tgineered Plans. <br /> *"**PROPERTY'SI.'RVEY required for all NEW construction, <br /> .-i--i-5-d--1-.i.-1-i 1'..-i..i- -8-1-M - ; i..l...l-B-B-b--0.-1--I.1-.E-1-1..i-1-!^-9.-6--E..S..E-y5-.1-.1-4,4>'9_� i-.-O.-L- <br /> Directions: <br /> Fill out application completely. <br /> Owner$ Contractor sign back of Oplication,notarized <br /> If over$2500,a Notice of Corn w-oncement is required. (A/C upgrades over$7500) <br /> ** Agent(for the-contractor)or Powt-r 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 :,ervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> • :;sal,.. .. i•'f,,.,7. . .. ...+ <br /> Driveways-Not over Counter if on public roadways..heeds ROW <br /> • <br />