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City of Zephyrhilis Permit Application Fa:81348"021 <br /> Building Department <br /> Oats Received 167 13 ) �Scl - 0Co3 ',4 <br /> Phone Contact for Parmita I Boom III <br /> Owners Nam Owner <br /> 16 Number 3 1)14 <br /> Owners Address 13(0 11 of Sil-A Q 117- 'W T W A V F- Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SEALE WE(-V- 14 V r - Lor(P <br /> SUBOMSION [, 17LUE9010 UNCia PARCEL[041 OL4-2tV-21 - ftjo ot)11)6 -O-Z,16 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED NEW 'ADDIALT r-V� SIGN r7 M DEMOLISH <br /> R (X) <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q .FRAME STEEL <br /> OESCRIPTION OF WORK 1�hJSMJAUQW OP PV qQLAR PANML�SIS124 (ROOPHOUNITb� <br /> BUILDING SEE I SO FOOTAGE HEIGHT <br /> �BUi. . . . . . . . . . . . . . . .. . . . . . . ... . . .. . .. . ... .. . .. . . .. . . .. . . . . . . <br /> L13ING jSg,-(jCj-C�fl VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1519 vtv 7_ AMP SEMICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Is :1 yK- �b (0 00(2 W'/ <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION 4? <br /> =GAS ROOFING F-1 SPECIALTY= OTHER <br /> YES NO=FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 0 1 <br /> - - - - --- -- - - - - - --- - - -- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I FSECURRILN L_XLN J <br /> Address 5100 W-HANNA AVE.7-AWM I License#Fr—o 3 On to I L4 <br /> ELECTRICIAN COMPANY NUFNIT &600 �r-Vr-( QPCA <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN I-Y/N I <br /> Adds. 14,61VAIn AVE, 0HP0 License#I G-C NOV fn 7 <br /> PLUMBER COMPANY = <br /> SIGNATURE F REGISTERED I Y/N I FEE CuffkEN L_LLN J <br /> Add. I license# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I Y/N I FFECURREN LYLN_j <br /> Address License <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN I FESCURREN LILN_j <br /> Add. License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum tan(10)working days aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sarritary,Facilities&I dumpster,Site Work Permit fbrsubdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Pemilt for all new 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 /> 16 III=. <br /> Fig out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over=500,a Notice of Commencement is required. (AIC upgrades over ST500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authaftng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reraofa if shingles Beware ' Service Upgrades AID Fences(Plot/Survey/Footage) <br /> Ofiveways-Not over Counter if on public roadways..needs ROW <br />