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sis-�saoozo City of Zephyrhilis Permit Application Fax-ai�-�ao-oo2i <br /> Buddmg DepaRment <br /> Date P,�ce ved /�( •� ' p� ne Contact for Permittin ��� <br /> • - Ti - 7 - �i'I <br /> OwnersName C� '�v�. Tf,x OwnerPhoneNumber �a7-(��{ <br /> OwneYsAddress �S(,� Hc1.cloGr �[�SSC�- vI� °�OWne�PhoneNumber �-� <br /> f � � Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sim ple Titlebolder Address <br /> JOB ADDkESS bO � �� V LOT # � <br /> SUBDIVISiON �� PARCEL ID� �3 ' t - � �D •• <br /> taernir�o �r+an rnorenx rax rionce� <br /> WORK PROPOSED e NEW CONSTR B ADD/A�T Q StGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL a <br /> DESCRIPTION OF WORK It> 1�. 't �� �� �C J4p �� ,� � 1 ACJ �C � x i�;- 1p��tGt4�, �Qrg� <br /> BUILDING SIZE �-� S� FOOTAGE � HEIGHT � S�� E'�e�a� <br /> �E3UILDING $ � j�+n VALUATION OF TOTAL CONSTRUCTION <br /> vV <br /> Qf=�ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R E.0 <br /> OPLUMBING $ /, /L�� � <br /> f�� <br /> OrdECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/L �� P" L � 1 r i��_ <br /> �]. � �J Ftii ' <br /> QUAS Q ROOFING Q SPECIALTY O OTHER �/�f _( b v <br /> / I/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGiSTERED Y! N FEE CURREN Y/ N <br /> Address License # � <br /> ELECTRICIAN COMPANY � <br /> SIGNATUF,E REGISTERED Y/ N fEE CURREN Y! N <br /> Adtln�ss License # � <br /> PLUMBER COMPANY <br /> SIGNATUkE REGLSTERED Y! N FEE CURREN Y/ N <br /> Address L�cense # � <br /> MECHANICAL OMPANV <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/ N <br /> ry <br /> AddreSS License # <br /> OTHER j /f/ f COMPANY �V p rQ.`J ,� S � C+kj> J <br /> SIGNATURE �r� �� REGISTERED N FEE CURREN Y/ N <br /> Atldress (,J' �Q�- �L L�cense # <br /> Illllltlllllll Illlllllllllllillilliillllilllllllllllllllllllllllll <br /> RESIDENT IAL Attach (2) Plot Plans, (2) sets d Building Plans, (1) set of Energy Forms, R-O-W Permrt foc new construction, <br /> Mimmum ten (10) �wrking days aker submittal date Required onsfte, Construdron Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facddies & 1 dumpster, Sita Work Permit for subdrvis�onsJlarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Pta� plus a Life Safety Page, (1) set of Energy Forms R-O-W Permd tor newconswctwn. <br /> Mmimum ten (10) Norking days after submittat date Required onsite, ConsVUdwn P�ans, Stormwater Plans w/ SiR Feace mstalled, <br /> Sanrtary Facilities 8'I dumpster Sde Work Pertnrt for all new projed5 All commercial requuements must meet compliance <br /> SIGN PERMIT Attach (2) sets of E�gineered Plans <br /> """PROPERTY SURYEY reqwred for all NEW construction. <br /> Directfons: <br /> Fill out apphcatron completely <br /> Owner 8 Contractor sgn back of applicahon, rrotanzed <br /> If over i2300, a Notice of Com mencement is requiretl. (A/C upyrades over 57500) <br /> ° AgeM (tor the contractor) or Po�ner of Attomey (for the awner) wvukl be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTINO (Front of Appliption Only) <br /> Reroofs d shmgles Sev.ere Service Upgrades A/C Fences (PIoUSurvey/Fooqge) <br /> Driveways-Not over Counter fi on public roadv.ays. needs ROW <br />