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City of Zephyrhilis Permit Application Fax-613-7804W <br /> Building Department <br /> ed 'Ptoneconmact -Permitfirto =-SkGICAS <br /> Date Ibcolv <br /> - - - - - - .. . .. .9 - Us 1 9 1 1 I—I'l <br /> Owners Name o— <br /> r� owner Phone Number <br /> )' <br /> Owneft Address I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number 777 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C—r ex i�'J\ LOT# <br /> S ASION (offrAMW <br /> Usalt MW PROPERTYTAK MVICE) <br /> WORK PROPOSED MEW C014STnR Aoomu SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR ❑ Comm o'rHeR I <br /> Type OF CONSTRUCTION BLOCK STEEL 77771 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE so FOOTAGE HEIGHT <br /> . . . . . . .. . . <br /> $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> EuPLUMBING S -LCD--X�`%ce"Ll-y" IV' � v <br /> MMECHANICAL 1$ VALUATION OF M,ECHANICAL INSTALLATION <br /> r7GAS ❑ ROOFING M SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F7YES, NO <br /> . . . . . .... .. <br /> BUILDER COMPANY <br /> SIGNATURE ................. REGISTERED YIN I FEECURRFA LILN J <br /> Address -1 Uo9naQ#F <br /> ELECTRICIAN COMPANY <br /> SIGNATUREF IM01mv" YIN FERCLIFIRM Ly LN J <br /> Address Licensed <br /> Z <br /> PLUMBER z <br /> SIGNATURE FMWRM I Y7N <br /> Address License a f—� V7,hos o r'4 <br /> MECHANICAL COMPANY SIGNATURE RM41aTMREDI YI .NIfEaCUSR9 YIN <br /> Address 1.1censeg <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I YIN FEECURREK <br /> Adore" License# <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)sets of Building Plane;(1)set of Energy Forms;R-O.W Permit for newconstructlon, <br /> Minimum ten(10)working days after submim MIS. Required ensile,Construction Plan,St=waW Plans w/SdtFence Installed, <br /> Saffilartr Facilities&I dumpater:Site Wbik Permit for=bdivistonsfiarge project; <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)not of energy Forms.R-O-W Permit for now construction, <br /> Minimum ten(i(l)worItIng days after submittal dam, Required onafte.Construction Piano,Stormwator Planawl SlIt Fence Installed, <br /> Sanitary Faclitles,&I dumpater,Site Work Pamilt for all new projects.All commercial requirements must meet compMmce <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required forell NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor Con book of application,notattzed <br /> Agent(for the contraftO or PwwrOAMornw(tar the anneov=dd te someone whit notattze0 letter ftm ameraulhoftM same <br /> OVER THE COUNTER PERMITnNd (copy of contract required) <br /> Rercofe it shingtoa Seam SeMce tjparedos A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter It an pubilt roadmys.,needs ROW <br />