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a�saso-oozo City of Zephyrhius F'ermit Application raX-�,.s-�au-uuz, <br /> Building Department <br /> t� l3 <br /> Date ReceivEd —�/ Phone Contact for Permittin ( Z — <br /> Owner's Name �/`�/7 5 l/� /(!��l2 �� Owner Phone Number <br /> Owner's Address � c� U� � CrC C ��� s� Owner Phone Number <br /> Fee Simpie Titleholder N� Owner Phone Number � <br /> Fee Simple Titleh�der Address �' - <br /> JOB ADDRESS � �� C/ ! S/ � • 3 l�` LOT # � <br /> SUBDIVISION � . PARCEL ID# ��' �D ' �"' � U� � � bUOQ ' G 1 Sd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � k l v S/�� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> BUILDING $ �`3 �� �f' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CAL $ AMP SERVICE Q P OGRESS ENERGY Q W.R.E.C. <br /> � `,�/� <br /> OPLUMBING $ /�� � �/0�77—t <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIC� C�°��"Q� f �� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER "" � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � r���� <br /> BUILDER i �.� COMPANY l7� E C� V�/N <br /> SIGNATURE �Y 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 License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new wnstruclion,, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMAAERCIAL 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) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes & 1 dumpster. Site Woric Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Ptans. <br /> "`*PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directlons: <br /> Fill out application compietely. <br /> Owner & Confractor sign back of application, notarized <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 f►om owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application 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 />