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e'13-780-0020 City of Zephyrhilis Permit Application Fax=a1a-Tao-0021 Building Department Date Received Phone Contact for Permitting { Owner's Name c ,- �- Owner Phone Number •Owner's Address � �� e 1'P j" ' r� T ,�6t 54,52.W, ner Phone Number C_ Fee Simple Titlehoider,Name ��G ,r�. _---1 Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS j l( .Q j^ ' LOT# - SUBDIVISION PARCEL iD#. (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR SIGN 0 0 -DEMOLISH INSTALL 8 ADD/ALT REPAIR PROPOSED USE F9"' SFR COMM OTHER ,TYPE OF CONSTRUCTION BLOCK . FRAME STEEL DESCRIPTION OF WORK (1 1 4rf BUiLDING.SIZE SQ FOOTAGE= HEIGHT Y-'1-re-a- -a- - ~a-u-a��^e^e�-�a^s�e-rr�-6--sr-sOI � &"c'�a-�a'�r-6sp � 1-1 =BUiLDiNG $ 3 VALUATION OF TOTAL CONSTRUCTION �ELECTRiCAL $- a� a AMP SERVICE 0 PROGRESS ENERGY W.RiC. ]PLUMBING $. l =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i i^� - V" rGAS E: ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS /f.�, FLOOD ZONE AREA DYES NO -6-1C-rP-�-�-8-'I�i-�-G�➢-Ir-B--G-6-£-➢-li--�-�-8-�-8-�E-�-8--�-�-"��"--2��P��& 8 �'��B=,�2�,��a�6•�-E� . BUILDER - . COMPANY %I Jx �a 1r�s� '; 4-es SIGNATURE - REGISTERED Y/ N FEE CURREN Y(N Address /c� G�v� / ~ �2"{�.�^i ,2� r )Grp a �. License# �:✓ �=E CJ fv 1 r i;LE CIRICIA(1 f COMPANY C� �1?C n`? � F� {=C-7 tom, SIGNATURE REGISTERED Y( N FEE CURREN Y/N Address 8"fi. � t P`ry/rm�°" �✓`-1' License# FEdJ c PLUMBER t"r� `�*� tl COMPANY -SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address fcc r mi�l2�r� License# MECHANICAL {^ COMPANY &/%fa ` SIGNATURE 5C'' """ --"-•"REGISTERE6 Y// N FEE CURREN Y/N License# CA o,�5 Address '�a'� !`;f a,y„- f c<• i' 52� OTHER - -� _r.,..�.------- COMPANY ��,�F�' ,. ..: t f<'�.:�T ,•��!.�7`-f,F"�-T' . SIGNATURE' �" REGISTERED Y/ N FEE CURREN Y/N / Address1" /ti(" ?% C License# r i ! 1lll. ! ➢ 1 ! ! ! ! !. ! ! ! ! ! :; l ➢- ➢ ! ! ! ! ! ! ! ! ! ! ! ! ! ➢ l ➢ ➢ l ➢ E ➢ ! ! ! ! ! ➢ ! ! .Ili ➢ ➢ ➢- ➢ l ➢ B ➢ @8H6 ,fl � ➢ RESIDENTIAL Attach (2)Plot Plan>; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit'for new construction, fMinimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit-Fence installed, Sanitary Facilities 1, 1 dumpster;Site Work•Permit for"subdivisions/large projects COMMERCIAL Attach (2)comple!i. Sets of Building Plans plus a Life Safety Page;.(1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten(10)t.xk{ng,days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, ' Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SiGN PERMIT Attach(2)sets of Engineered Plans, i *""PROPERTY'Sl.r•tVEY required for all NEW construction, -..e➢..!Directions:,':�-➢-&.➢.�-4..�,..➢.-l.-d.:.A.,.;.�8-!!v&-?>•.�5-8�-'bo.l.-�-.B-b.-1-806-g.�-B�-E-�-➢�&� 4��➢.�E..�9®➢ Fill out application completely. Owner$ Contractor sign back of i.)plication,notarized If over$2500,a Notice of Comri:.:mcement is required. (A/C upgrades over$7500) ** 1 Agent(for the contractor)or Pow,_-of Attorney(for the owner)would be someone with notarized letter from owner authorizing Same OVER THE COUNTER PERMITTING . (copy of contract required) Rerdofs if shingles Sewers ;;ervice Upgrades A/C Fences(Plot/Survey/Footage) 4 Driveways-Not over Counter if on Dublic roadways..needs ROW