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sts•Tstxt�ztf City of Zephyrhi)is Permit Application Fax-$13-7804)621 <br /> Building Department <br /> Date Recelved phone Contact for P.ermltUng <br /> ` e a a go a gale7 Jt1■r* a t>r it a iTYrr/r_r r�r:AAACttt <br /> Owners-Name C�(ICI �'t f-?, t Owner Phone!lumber 7w7-9 /q' <br /> Owners Address 5"`t 0 t V{ �� S � ' Owner Phone Number <br /> Fee Simple Titlehotder Name Owner Phone Number <br /> Fee Simple T(lleholder Address <br /> SS_ ``r , tt } 4 yy((✓] <br /> JOB ADDRESS t "t D t b-T4- t- Z—h t i l5 ss�"( a` LOT#- <br /> SUBDIVISION NOI"�1. PARCEL ID# 1.l �{p=�! `i✓D "D vL/"D o Q <br /> IOBTAINEO FROM PROPERTY TAR NOTICE} <br /> WORK PROPOSED e NEW CONSTB 8 ADD/ALT 0 SIGN Q [D DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER + f'00 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME =} STEEL Q ) <br /> DESCRIPTION OF WORK �} O eo ��e_( 1' 4 ` S(.0 <br /> BUILDING SIZE i lLs ? SQFOOTAGE �197r HEIGHT (yyera e is 16r I1lC�h <br /> aC'Kl`c's"t"acx'ixcc'cCICC'KL"4'tL"a"['c'CCCC1L'CC'CC'tLCCC-CiC MCA CIVIVEEXCC-C CCILC'CiCcc�rrr <br /> QBUII DING $ 2 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS'ENERGY Q W.R.E.C. <br /> =PLUMBING $. <br /> =MECHANICAL $, �� VALUATION OF MECHANICAL INSTALLAT16N <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR.ELEVATIONS r FLOOD.ZONE AREA =YESDun <br /> NO <br /> '} <br /> BUILDER, COMPANY i <br /> SIGNATURE �- -^ REGISTERED I Y/N FEE CURREN Y!NY!N <br /> Address License# <br /> EL ECMCIA14 � � COMPANY <br /> SIGNATURE REGISTERED I Y!N FEE CURREN Y!N { <br /> Address License#F_ <br /> PLUMBER COMPANY <br /> SIGNATURE- REGISTERED YIN FEE CURREN <br /> Address License# + <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED Y/N FEE cuRREN Y l.N - <br /> Address License# <br /> OTHER COMPANY V CU 1 <br /> SIGNATURE- REGISTEREDI YIN FEE CURREN LILN <br /> Address F,5Ct 1� mac_. h P-A Q. License O <br /> aaaaaaeaia.sears,�.a�tiaa�i�allaaa��.a�aaaa�aaaaaaaaaaiaaaaa�aar.a�aa �a-nail <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sags of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)'working days after submittal date.Required onsite,Construction Plans,Storrnwater Plans wl Silt Fence installed, <br /> &Sanitary Facilities 1 dumpster;Site Work Permit for subdivistonsitarge.projects <br /> COMMERCIAL Attach(2);coinplete sets of Building Plans.plus a Life Safety Page;(1)set of Energy Forms:R4-W Pennil,for.new construction.. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwaler Plane w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.AN commercial requirements must meet 6orhpfiance1 <br /> SIGN PERMIT Attach 0)sets of Engineered Plans. <br /> ­PROPERTY,SURVEY requlrod'for all NEW construction. { <br /> Directions; <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$250k a Notice of pommenceme,nt Is required.(AIC upgrades over$7500) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract.required) <br /> Remote if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) reviewed/approved by <br /> Driveways-Not over Counter If on public roadways..needs ROW <br /> rodney <br /> May 8 2020 <br />