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813-78"020 City of Zephyrhilis Permit Application Fax-a13-780-0021 <br /> Building Department <br /> Data Rdeelved 1, cc hone Contact for Pemitttin tj p c� <br /> Owners Name �(�t V ..t�i Ot;J Owner Phone Number 17���—1��—�N ` ( ' <br /> Owners Address' Owner Phone Number tl t3 4 Y+Yi J© q 1 <br /> Fee Simple Titleholder Narita Owner Phone Number <br /> Fee Simple Titleholder Address y <br /> JOB ADDRESS 10 J air'V, 1. r,ve— C.y <br /> ePky��t1t is LOT# <br /> SUBDIVISION PARCEL IDf( <br /> • - (OBTAINED FROM PROPERTY TAX Notice) <br /> WORK PROPOSED NEW CONSTR ADDIALT =- SIGN [1 f DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM U OTHER <br /> TYPE OF.CONSTRUCTfON BLOCK 0 FRAME En STEEL En <br /> A <br /> Chan out <br /> t0:5e�..P cam✓. <br /> DESCRIPTION OF WORK ' <br /> BUILDING SIZE SO FOOTAGE�� HEIGHT <br /> CI �BUILDING $'. . '..:.. .. ..:.. . .. <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL C$ AMP SERVICE Q PROGRESS ENERGY Q. W.R.E.C. <br /> PLUMBING. �$ <br /> MECHANICAL" $: n '�',CX VALUATION OF MECHANICAL INSTALLATION <br /> =GAS- = ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA =YES NO ". <br /> BUILDER COMPANY — <br /> SiGNATURE i REGISTERED Y/N I -FEE CURREA Y 1.N <br /> Address License# l <br /> ELECTRICIAN'. COMPANY �_-- <br /> SiGNATURE ! REGISTERED Y 1`N FEE CUttREn Y t N <br /> --. <br /> Address License# <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED I Y/ N " - FEE CURREK ' 'L'Y/N'. I - <br /> .. <br /> Address License# l <br /> MECHANCCAL COMPANY f'tl� 7ec.h �se�Vt`Ge`3 d� GtSL© <br /> SIGNATURE REGISTERED Y 1'N FEECURREt. YpIpN 1 �y <br /> Address I VJ 5 L 1k6+ a?h -"4,i Cleanse# � ,i D i 5q 9 <br /> OTHER. COMPANY , <br /> SIGNATURE' REGISTERED I Y'/ N' ' "PEE CURREh"` YIN " <br /> Address License#1 77 . <br /> !.{ ! t{ 1 !'3'11 !'11ltt-i1 ! ! 1.1`fEiIII / {,till { i'l111EI1.111111 Ali III IIi-1IIIiI'I111 - <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 Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work.Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius.a*Ufe 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,Stormwater Plans /.Slit Fence installed, <br /> Sanitary Facilitles 81 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 /> Dtracttons• <br /> Fill out application completely.. <br /> Owner d Contraclor sign back of application,notarized, <br /> If over$2500,a Notice of Cominencement 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 conliact required) <br /> Remofs N shingles Sewers Service Upgrades A/C. Fences(PlpVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..neads ROW <br />