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s�a-�ao-oozo City of Zephyrhilis F'ermit Application tax-tsld-itsU-UU'L7 <br /> Building Department <br /> t ' <br /> Date Received � Phone Contact for Permittin – <br /> °' Owner's Name 71 J C Owner Phone Number � � ' ��� ' / � � / <br /> � r Owner's Address �� Owner Phone Number �— <br /> Fee Simple Titiaholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> „ ADDRESS LOT # � <br /> SUBDIVISION � • PARCEL ID# <br /> (OBTAINED FROIYI PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �DESCRIPTION OF WORK '� � / r cf �C �� � <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> OBUILDING $� � �',r� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � r�12� (fl'� <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER '� �I �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � .� - � � �OMPANY p `��c_ C��Jit 2 `� <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 Y/ N FEE CURRE� Y/ N � <br /> Address License # <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 Llcense # � <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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes S 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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/ Sitt Fence installed, <br /> Sanitary Facitities 8� 1 dumpster. Site Woric Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '"`"PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Confractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requlred. (A/C upgrades over s7500) <br /> "' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTtN(3 (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />