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a1�-�ao-oo2o City of Zephyrhilis Permit Applica6on Fax�13-780-0021 <br /> Buflding DepartmeM <br /> Date Raceived Phone Contact for PermilG <br /> Owner's Name �N a" r Owner Phone Number �l3 '��� - � <br /> Ownsr's Addrass Owne� Phorro Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple 7 itleholdar Addmss <br /> JOB ADDRESS t / GJ/�/ �IJ LOT M � <br /> SUBDIVISION ___ T� __ r�ZA�� PARCEL ID�It � (r�.�DW KO <br /> WORK PROP03ED e �TALL� e �pA R T � $IGN NED F r2o�TM T �E� DEMOLISH <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTtON OF VYORK � C (s — Q � bNe �am N eN <br /> 6UILDING SIZE 5� FOOTAOE� HEIGHT U <br /> QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING �� � / <br /> 1L/ ' <br /> �MECHANICAL $ � �� VALUATION OF MECHANICAL INSTALLATION 1✓ <br /> �GAS Q ROOF�NG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � —� <br /> SIGNATURE REGISTERED Y/ N r� curu�n Y/ N <br /> Address License # <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ���� � <br /> PLUMBER COMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURREA Y! N <br /> Address V�� � � <br /> MECHANICAL • COMPANY � �P/�}/�,�0 t (� C <br /> SIGNATURE REGISTEFiED Y/ N �e cUq�n Y! N <br /> Addrosa �� p C/9'[.:Q �3 8 <br /> OTHER COMPANY � <br /> 316NATURE �GrSr�� Y! N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Atfach (2) Pbt Plans; (2) sels of Buifding Plans; (t) set of Energy Fortns; R-O-W Pertn{t for new wnstruction, <br /> Minimum ten (10) working days aRer submitNdl date. Required onstte, Construdion Plans, Stormwater Ptans w! Si1t Fence installed, <br /> Sanitary Fadlitles & 1 dumpster; Site Work Permit for subdivisfons/large proJecls <br /> COMMERCIAL AttacA (3) comptete seb of BWIdMg Plans plus a LiFe Safety Page; (1) sM of Energy Fams. R-O-W Permit for new consWcGon. <br /> Minimum ten (10) working days after subrtdtfal date. Requlred onsite, ConsWctlon Pians, Stormvrater Plans w/ Silt Fence inshalled, <br /> SaniWry Fadiitles & 1 dumpster. Site Work Pertnit for aN rrew pr�ects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2i sets of Engi�eared plans. <br /> "«PROPERTY SURVEY required for all NEW construclion. <br /> Directfons: <br /> Fill out appllcatlon completery. <br /> Ovmar & ConhaGor sign back of app{icatlon, �olarized <br /> H over s2500, a Notice of CommencemeM is required. (A/C upgrades over 57500) <br /> "' Agent (for fhe contrador) or Power of Attomey (for the owner) wouW be someone vuith notarized letter (rom owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Applicatlon Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Pbf/Survey/FOOWge) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br /> b00/Z00 d££E# 6b Ol lIOZ/Ol/SO �p�j <br />