Laserfiche WebLink
813-78"lL0J203 City of Zephyrhill s Permit A <br /> pp ica- <br /> ti-on- - - - - - - - - - - - -F-a x--B-1 3--7-8 0--0 <br /> L-0 O2-I <br /> Building Department <br /> Date Received Eh2n Confect far <br /> O.n,e.Name q Owner honeNumber bq <br /> Owner's Addoss33n <br /> Owner 2hone Number <br /> Fee Simple Titleholder Name Owner 2hone Number <br /> Fee Simplo"ndeholder Address <br /> JOB ADDRESS -z- LOT# <br /> SUBDIVISION PARCEL 100 <br /> (OqTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COWRR ADDIALT SI N DEMOLISH <br /> I R INSTALL REPAIR <br /> PROPOSED USE SFR = Comm 0' ER <br /> TYPE OF CONSTRUCTION BLOCK FRAME S�IEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE rSQ FOOTAGE HEIGHT <br /> I <br /> . . . . . . . . . . r . . . . . . . . . . . . . . . . <br /> =13UILDING ----] VALUATION <br /> 'OF TOTAL CONS; T'ON <br /> =ELECTRICAL $ AMP SERVICE r PROGRESS ENERGY W.R.E.C. <br /> I I <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL NSTALLATION vv <br /> =GAS IZZ ROOFING SPECIALTY= 0 HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YSS NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURM LXLN J <br /> Address License# <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE REGISTERED I YIN FEE CURM LYIN J <br /> Add. 1 7 License# <br /> PLUMBER COMPANY I I <br /> SIGNATURE l REGISTERED I Yl N FEE CURREN LY 1 N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED <br /> q)=N FEE CURRE!, <br /> Address License#I <br /> OTHER T COMPANY E <br /> SIGNATURE REGISTERED Y/ N FEE GURREI, I IN <br /> 1. <br /> Address UZI nid Z-4 P1 11 Licensed QCC - 05t 13q .1 <br /> III goillif I Ilif Iloilo if <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms, -O-W Permit for new construction, <br /> Minimum ton(10)working days after submittal date. Required onsite,Cc truction Plans,Starmwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge p jects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set f Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after Submittal date. Required onsits.Co struction Plans,Stormwater Plans w/Silt Farms installed, <br /> Sanitary Facilities&1 dumpster.$Re Work Permit for all new projects.Ali mmerc[W requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 16 <br /> D1= <br /> 6.2 � <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 /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with n(ta4zed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Remofs if shingles Sewers Service Upgrades AIC Fences(PIctJfSu 6 go) <br /> Driveways-Not over Counter If on public roadways..neads ROW <br />