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I 81;�78D-00 City of Zephyrhilis Permit Application Fax-813a80-002t <br /> I BuiWing'De`pattment. <br /> Date Recelved, r _t <br /> ' Phono ContedtorPeiniittin <br /> i !"aa!!al[l e aa ttt�'l - <br /> Owner'e Nambu <br /> e - F ,� Owner Phone Number y <br /> utOwnees Addreca __ _. -_ ti 1 y :fI Q(ker Phone Number <br /> i <br /> i Fee Simple Titleholder Name Owner Phone Number <br /> ! Fee Simple TMaholder_Address, <br /> JOB ADDRESS SU LOTTI#�) r� <br /> SUBDmsioN V�. r Q1tZL41' PARCEL IDS' — -' -. U.V rf J(!o / Uad a <br /> (OETNNED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED rNEWCOMTR ADDiALT Q SIGN 0 Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED'USE SFR 0 COMM 0 OTHER . - <br /> TYPE OF.CONSTRUCTfON 0 BLOCK' Q FRAME Q. STEEL <br /> DESCIi1PT10N.60 WORK .O . 1 C) r' <br /> i BUILDING SiZE SQ FOOTAGE L-j HEIGHT <br /> BUILDING S, V VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL 5' AMP SERVICE Q PROGRESS_ENERGY_ Q W.R.E.C. <br /> 3 _ <br /> l _ <br /> PLUMBING $ <br /> - <br /> CHANICAL $ VALUATION OPMECHANICAL INSTALLATION <br /> QGAS' M ROOFING' „Q SPECIALTY Q; OTHER C i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> z YES NO <br /> - <br /> BUILDER COMPANY -- <br /> SIGNATURE _ _ _ RearstEtiEo N _FEE cuRREN Y:I:N <br /> i - <br /> Address License fl <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE -._._ _. . REGISTERED YIN FEE CURREN' WI N <br /> / 6 <br /> Address Licensed -- <br /> PLUMBER COMPANY <br /> SIGNATURE REGMTEReo I.IYAN _ FEE CURRErc Y-I N - <br /> Address LicenseBy fl _ <br /> MECHANICAL /� COMPANY V, <br /> SIGNATURE REGSTERED Y N FEE CURREN -_Y.i'N J G <br /> c Address License; _ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN Yd-N <br /> Address -- — Lfcensafl <br /> a'goolvalanIf'1244lila.!!llfla2462,/11a7!'s sale a_a-la/i:a/sill!!!!;•!!l alto <br /> tillrJ'f <br /> RESIDENTIAL, Attach(21 Not Plans;(2)sets of Building,Planw(1)'set of.Energy Forms;.R-0-W Permit fornew construction, <br /> Minimum ten(10)working days after submittal date.Required.onsite,Construction Plans,Storrnwater Plans w_l Silt Fence installed, <br /> Sanitary Facilities&1_dumpster,Site Work Permit for subdM§iansliarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Sefe_ty Page (1)set of Energy Forms.R-0�M Permit for new construction. <br /> Minlrrium ten(10)Working days after.submittei date.Requiied,onsite,Construction'Plans,',Stormwater'Plans wL Silt Fence installed, <br /> Sanitary Faei60es A 1 dumpster.Site Work Permit for a0 new projects.AN,Commercial,requirements must meetcornpliani e <br /> SIGN PERMIT Attach(2)sets of.Engineered Plans. <br /> i _"PROPERTY'SURVEY required for.all NEW construction, <br /> Oirectlons: <br /> Fill out application completely. <br /> Owner&,Contractor sign back.of application,notarized <br /> Ii over 62500,a Notice of,Commencement Is required.(NC upgrades over$7600) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)Would be someone with notarized latter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs 6 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br /> I <br />