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j 813480-0020 City of Zephyrhilis Permit Application Fax-s13a8o-oo21 <br /> Building Department <br /> Date Received f 'a 7 Phone Contact for Permitting 3csa Sa — 9 <br /> Owner's Name W / l( Owner Phone Number la• �ia- c3Yo,6 <br /> Owner's Address C ol i.r/ p` OG�G( 10 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 0 o t O LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW COLSTR B REPAIR SIGN = 0 DEMOLISHINS 7 <br /> PROPOSED USE = SFR 0 COMM [ OTHER I zC4 <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL �.. <br /> 1-7 <br /> DESCRIPTION OF WORK IA I <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL $ VALUATION OF MECHANIC STALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO <br /> . . . . . ._ . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE• REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address A License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN / <br /> Address �d a r �/ � 3 �� License# ?/f Q s- i-1--iks` <br /> OTHER" COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# <br /> l 1 f1 1 1 1 1 1 1 1 11 111 11 -1 1A ell 11 l l <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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> . . . . . . . . . . . . . ._. ._. . . . . ._. ._._.. . . ._. <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 /> `• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers .... ,Se�vicg Upgrades A/C�:•��Fences(Plot/Survey/Footage) <br /> Driveways-Not over; ounter if on;publlc roadwa"ys;.needs ROW <br /> 1« . - <br /> .' !..�.L'a;rye•li':i�>y': � .•`"`i'?i;.•.;.•.•✓ <br /> f`{•'iQ6•L-.•:�7."'.::a1,o: e��;%er',Z;i'1 iSrtl i<:i;`08 '`?;)q.,, <br />