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B13-780-0020 city of Zephyrhilis Permit Application <br /> Building Department <br /> :pamittin 5�10) <br /> Phone,C"ftd for Pef,d Date ltemqi�ed Phone C"A3d for <br /> r <br /> ownees Name ljo Number 590 <br /> ownees Add qjU4+sS+ Omer Phone Number <br /> Fed Simple Titleholder Nam Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT#5 <br /> SUBDIVISION PARCEL io#F (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R INSTALL NEWCDNM� ADDIALT = SIGN [--j DEMOLISH <br /> REPAIR <br /> PROPOSED USE SFR M Comm r--j OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK [D FRAME STEEL ED r_— <br /> OF-SCRIPT-'ON OF WORK ph S-TON P+--- <br /> arne,oul-, I coor -n+, <br /> BUILDING SIZE So FOOTAGE HEIGHT E= <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE PROGRESS ENERGY Q W.R.E.C, <br /> =FLUMBING 15 <br /> �-'ECHANICAL jsZjqq5,a3j VALUATION.OF MECHANICAL INSTALLATION <br /> =c.ks r7 ROOFING rl SPECIALTY OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . It It It II <br /> BUILDER i COMPANY I <br /> SIGNATUF1'.- REGISTERED I YIN FEE CURREN <br /> Address License#F <br /> ELECMCrAA1 COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN i YIN <br /> Address I License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/N FEECUPREN L_XLN J <br /> Add. License#F— <br /> MECHANIC -Wo-F <br /> COPANY <br /> SIGNATU AL REGISTEREDM I Y/N FEEtURREN I YIN <br /> Address MI-71 A W"qd Zi 1/6 ticehse#1 efi e-5-013q q9 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREN LILN J <br /> Address License#F- <br /> 111i I 111111111 1161111111 11111 111 if 11111111 <br /> RESID9NTiAL Attach'(2)Plot Plans;(2)sets of Building Plarvi:(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)worldng days after submittal date. Required make,ODns6xUon Plans,Stonewater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislorwlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a We Sofory Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)vvq%ng days after submixtal dote..Requited onzite.Construction Plans,Stormwater Plans W Sift Fonco Installed, <br /> Sanitary Facilities&1'dumpster.,SfI67Work permit for all new projects.Ali commercial requirements must meet compliance. <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. 1 '4 . - . . .1. <br /> 'PROPERTY SURVEY required for all NEW construction. <br /> 4 . . . . . . . . . 11all 01=4 oft <br /> Fill ou,application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice or Commencement Is required. (A/C 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 PERMUTING (copy-of 99npat required <br /> Reroofs if s.-iingles Sewers Seivicm Upgrades A/C �fot/Survey/Footage) <br /> Driveways-Not over Counter it.06 public roadways:.needs'ROW <br />