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a�saao-oo2o City of Zephyrhilis F'ermit Application rax-ts�s-iau-uuz� <br /> � , . <br /> - Building Department <br /> Date Received �-- ���� phone Contact for Permlttin �� y� - 7�V <br /> Owner's Name f/ GC.0 � � en� �z D Owner Phone Number 7pZ �� Q'- ��`i� <br /> Owner's Address 3 vr.� aL "� Owner Phone Number <br /> Fee Simpie Titleholder Name � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS DU Q „J � � f' �' � �dr � 1!' e`` LOT # �/� <br /> SUBDIVISION �— , PARCEL ID# � y _ � � � "� D � � OD d0-(J ��/' <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q� FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ,(� ,� S q�(' i�' �� ' � C �C �� <br /> BUILDING SI2E �oZ �..t' �� � SQ FOOTAGE V�� HEIGHT �� / <br /> � �.. <br /> �UILDING �� !�, �,i � VAL ATION OF TOTAL CONSTRUCTION <br /> ��ac� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ` %�,�� 7 � � <br /> � - <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �„%Cf��S X'�5���,�,� <br /> c-_ � _.... — �._ <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ���,�,j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � D , C ,� � � COMPANY <br /> SIGNATURE �����° W REGISTERED / N FE CURRE� Y/ N <br /> Address ' License # r <br /> ELECTRICIAN ��� �� k COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <br /> PLUMBER ��.,e,.� � . COMPANY i �. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE _ RE�isrERe� Y/ N FEE CURRE� Y/ N <br /> Address License # — 1 <br /> OTHER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <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 submittai date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faciflties & 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 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 requlred for ail NEW construcUon. <br /> D(rections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, nota�ized <br /> If over;2500, a Notice of Commencement is required. (AIC upgrades over 57500) <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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrlce Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publlc roadways..needs ROW <br />