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U13-780-0020 City of Zephyrhilis Permit pplication Fax-BI 3-780-0021 <br /> Building Department <br /> Date RoceWed <br /> Phone Contact for Permitting <br /> Owner's Name Lmnay A�kwcs I O=or Phone Number= <br /> Owner's Address R 0MU-) al (S+, Ow or Phone Number <br /> Fee Simple Titleholder Name Ow or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> dCn 9)' V PARCEL iDffiM.­.A1[0-a 1-011 D- DCOW-W <br /> SUBDIVISION ely, _9D <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT IGN. DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE Q SFR COMM- OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME iTEEL <br /> I <br /> 'QCL Dn I rrL-ACA <br /> DESCRIPTION OF WORK V" <br /> BUILDING SIZE SO FOOTA13E ..........�EIGHT <br /> ®BUILDING <br /> � I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> MqUDO I <br /> =MECHANICAL [ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING SPECIALTY = 0 HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> 11111 M+H4+f+H+++i I I I I I I I I I H I HI ...... <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ NJ FEE CURREN Ly LN J <br /> Address License# <br /> PLUMBER COMPANY vdg <br /> SIGNATURE REGISTERED Y/ N . FEECURREN VYIN <br /> Address TP�T ley)em M —1 License# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED N FEE CURREN_J <br /> Address License# F_ <br /> OTHER 'COMPANY --7-= <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> COMP "Y <br /> REGISTERED <br /> Address License# <br /> ti <br /> ........... ........ ........ <br /> RESIDENTIAL— Attach(2)PlotPlans;(2)sets of Building.Plans;(11)set of Energy-Forms;R- -W Pormitfor now construction, <br /> s ClIon I <br /> Minimurn.ten(1%Working days after submittal date.-Required onsite,'Cons ction Plans-,Stormwater Plans w/Slit Fence Installed, <br /> t n ��p <br /> 14 I j ct <br /> Sanitary Facilities&.1,dumpstep.SlIe'Work Permit for subdivisionsfiarge praj cts <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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 w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now 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 /> (1101111111pal-I III III-111PI-11111 Imp I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500.a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> sa Agent(for the Contractor)or Power of Attorney(for the owner)would be someone with notari ad letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING , .(Front of Application Only) <br /> Rerools if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Won public roadways..needs ROW <br />