Laserfiche WebLink
a�s-7so-oo2o City of Zephyrhilis F'ermit Application rax-rsia-i�su-uu�� <br /> Building Department <br /> � <br /> Date Recei�led Phone Contact for Permittin �� '7 ��� –�D�Z <br /> Owner's Name �'���� LJC��1 I�i�C3w Owner Phone Number <br /> Owner's Address J � Z- � b��' v �' �� Owner Phone Number <br /> Fee Simple Titleholder Name �,b?�/LG�y� �)OGf �SO�-�� Owner Phone Number —� <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS J! � 2 b � U•� ''/ /i' / C ls /� L-- LOT # � <br /> SUBDIVISION —� , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��/� C./'Le D� �� �C G/�� <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ��PLUMBING $ � �i <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ` License # � —� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # <br /> PLUMBER COMPANY `�'�'��� �� � <br /> SIGNATURE REGISTERED �/ N FEE CURRE� N <br /> Address Llcense # � Z, � �/ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License �! <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> RESIDENTIA� Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction,. <br /> Minimum ten (10) working days after submittat date. Required onsite, ConstrucUon Plans, Stormwater Pians w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaGliUes 8� 1 dumpster. Site Work Permlt 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 construcdon. <br /> �„����������„���.��� <br /> u.... � � a,.,.�i � a�.�� i �1aLr <br /> Directlons. <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is requlred. (AIC upgrades over s7500) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..�eeds ROW <br />