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a�s-�so-oozo City of Zephyrhilis Nermit Hppucauun -_ <br /> 8uilding Department <br /> Date Received Phone Contact for Permitting " <br /> Owner's Name C �`S�� � �M.� << Owner Phone Number �� - 3S5 -� � 6 Z <br /> .. <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> JOB ADDRESS "�3 d�� b'^ ll '�3 V°� ' LOT # <br /> SUBDIVISION � � PARCEL ID# I�' �-� ' �-� ' O � . - <br /> (OBTAINEU FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e WSTA ONSTR e REPAIR � SIGN Q MOVE � DEMOLISH <br /> PROPOSED USE � <br /> SFR � COMM Q OTHER / � <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME Q STEEL Q OTHER — I <br /> DESCRIPTION OF WORK el�t� �� ��' � G �� V''-� r'� V Se� � t f C. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> d ELECTRICAL $ AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C, <br /> ��C�C�O.dJ <br /> 0 PLUMBING $ � I��O � <br /> � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING L� SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �I FLOOD ZONE AREA DYES QNO <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN <� \I � � COMPANY ' S t � � t �.\ ✓ ..'� � f . <br /> SIGNATURE •M" REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � c� �C 7— Z-� t 3353� License # ��-- l�� � 53 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address Ucense # <br /> RESIDENTIAL Altach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> M�nimum 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 subdivisionsllarge projects <br /> COMMERCIAL ACtach (3) complete sets of Building Plans plUS a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days afte� 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 Aitach (2) sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appiication completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgredes over $5000) <br /> '* Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PlobSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />