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0 t J - / ® v - <br /> 313-780-W20I City of Zephyrhilis Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Reo®Med rta Phone Corct for PermR6n — <br /> Owners Name CII-op Owner Phone Number <br /> Owners Address �✓ D 2� � Owner Phone Number <br /> Fee Simpfa Titlehotde Name Owner Phone Number <br /> Fee Slmpta Titieholde Address <br /> JOB ADDRESS � V 1 �� r LOT A <br /> SSUBDIVISIONf a., , PARCEL 100 - 3 Q0—(91 _0 L o <br /> (OaMA NED FROM PROPERIYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> IJ <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRU ON BLOCK 0 FRAME = STEEL (_ <br /> DESCRIPTION OF W RK I C pja P / • `d` / �+� , <br /> BUILDING SIZE 80 FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIC $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> M CHANIC $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE WORD <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREH LnN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURM <br /> Address License# <br /> MECHANICAL COMPANY JCS <br /> SIGNATURE REGISTERED I Y/N FEE OURREA I Y/N <br /> I <br /> Address License# <br /> OTHER: COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn <br /> Address E License# <br /> Tl T'1-1 Tl ir I '1-1-11"I 1 1 I`I 1 Ull l"7'-F T'T'1 1-1"I l T 11 1 I 1"1-1'I-I l TT'I T'1 fT 11T 141-TTI 1 1'Tl-'1 <br /> RESIDENTIAL A tech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes,R-O-W Permit for new Construction, <br /> INmum ten(1fi)w`aifdng days tttn�ltt®I'ds"te—Requlietl orate;Cobelriictiori Plans;Storrtiwate`r Pierre"w!SIR Fence installed; _ <br /> Rory F Hiss A 1 dumpster,Site Work Permit for subdIvialonellarge projects <br /> COMMERCIAL (3)Complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.RAW Permit for new construction. <br /> IMmum ten(10)working days after submittal date. Required onsits,Construction Plans,Storrrwater Plans wl SRI Fence installed, <br /> s6nftary Fadltties&1 dumpster.Site Work Permit for all new projects.All Commercial requirements must meet compliance <br /> SIGN PERMR (2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Direetlons: <br /> Fill out app0ea Completely. <br /> Ov ner 8 Contr ctor sign back of application,notarized <br /> B Over$2500, Notice of Commencemerrt le required. (ANC upgrodes owr:7500) <br /> Agent(for the c mtrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERTHE COU R PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoVSurvay1Footsge) <br /> Driveways-N over Counter If on public roadways-needs ROW <br />