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City of Zephyrhilis Permit Application Fax -7so-oo21 <br /> Building Department <br /> Date Received 5 <br /> Phone Contact for Permitting <br /> Owner's Name [ c r-, E: Owner Phone Number<� Z 4 <br /> Owner's Address 40 j `=" '�' �'' Tc,-y�,lPJ�J ' � Owner Phone Number <br /> Fee Simple Titiehoider.Name C r Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS , k, li T sq LOT# <br /> SUBDIVISION � � u'�� 'A PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e -NEW CONSTR R <br /> ADD/ALT SIGN J� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE "r SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION . [��/' BLOCK FRAME t�� STEEL C]p <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT�BUILDING $ �t5 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, C)d AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> PLUMBING $� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Cn 1.ocb <br /> =GAS ROOFING F1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS p FLOOD ZONE AREA =YES NO <br /> -d'-�'-➢-4--➢-➢--➢--II-€-➢-•&-➢-i{•-it-C--{-•i--4-•C-i-6-'w-$-➢-rr-F-➢--G-i�f�-"�-3-:-ti-ti-fl-:-i-)T➢-➢-➢-'v-fl-'t�•8-�6-➢-v-`s-➢=a-:-iG••'�-"r�Q�r°�i�➢�n"+�-➢-�-C-T-➢- <br /> BUILDER �J COMPANY a �0°`A-c" <br /> SIGNATURE REGISTERED Y I N FEE CURREN Y/N <br /> Address %c�tvC]vj l���Kp r'b7 ,t� r"' 1�-�,�� License# <br /> ..FELECTRICIAN ��, -,, ^'� COMPANY <br /> SIGNATURE REGISTERED Y/ N F.EE CURREN Y/N <br /> Address d`'' � P�OmC°" r �"7'r��� License# F,cd3 <br /> PLUMBER ^"` °➢n . . — COMPANY / -A -70' .t., �G's� 31 �/� <br /> f! <br /> .SIGNATURE REGISTERED, Y/ N FEE CURREN Y/N <br /> Address License# a 1 C d' <br /> MECHANICAL4� COMPANY <br /> SIGNATURE f Q �'F� „ ^---REGISTERED W/ N FEE CURREN Y/N ' <br /> Address �j �,e.� xZ , a� ,<t , �+Vc�j License# b � <br /> OTHER . n. _„`.. COPANY <br /> SIGNATURE REG MISTERED Y/ N FEE CURREN Y/N C <br /> Address �A* / License# <br /> ➢ ➢ ➢ llfllill' ! i ➢ lttti ? itititiiititittlfli ! ➢ tiflltili ➢ tti ➢ ➢ 1 ➢ ➢ ➢ ➢ ➢ ItB ➢ i ➢ ➢ fli <br /> RESIDENTIAL Attach(2) Plot Pla;_:; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)v orking 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) completa gets 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/Slit Fence installed, <br /> Sanitary Facilities c. 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of E.�gineered Plans, <br /> *"PROPERTY,SI.:.gVEY required for all NEW construction. <br /> ..1-4..6.-�(4-➢-7..,➢..➢-a..a..4--0--#-6-1--0•-•:-.1-.!{...i-,1�.6-t,-.6,-➢-;t,..�..a.»�.E-fl.-A-t�S-B-6-d-.B-.i--E�&--fl.�3.-4.-fl...8,..➢-.8.-&-6JJ.-i.-➢.-6..➢..�-�-1GdI..➢o6.�..d-B�&-. <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of )plication,notarized <br /> If over$2500,a Notice of Comnlvncement Is required. (A/C upgrades over$7500) <br /> ** Agent(far the-contractor)or Pow1,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 'Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on 3ublic roadways..heeds ROW <br />