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a�saso-oo2o City of Zephyrhilis Nermit Application rax-n,s-��u-uuz� <br /> Building Department <br /> Date Recefved <br /> Phone Contact for Permittin - <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J 11✓1 LOT # � <br /> SUBDIVISION � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �"k a� � V G ��� U' J 4 �„�, �� i� �� <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !( �� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER SSS V <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 g �Q � � � �" <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � Z+ .. � � License # �C ��d j� S 3 —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/ N � <br /> Address License # �— <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <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-O-W Permit for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster; Site Work Permit for subdivisionsllarge 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 /> Mi�imum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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 required for all NEW construction. <br /> Directlons: <br /> Fill out apptication completely. <br /> Owner & Confractor sign back of appilcation, notarized <br /> If over $2500, a Notice of Commenaement ts required. (AIC upgrades over s7500) <br /> '* Agent (for the contracior) or Power of Attomey (for the owne�) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />