|
- _� S� 3 �-3��9 -
<br /> • a s-�so-oozo City of Zephyrhilis Permit Application Fax-ai:�- �02,
<br /> ' Budding Department
<br /> Date Recewed ✓ � phone Contact for Permitting - —
<br /> . ......................... .. ._....... ........_. ...............•:,..�..,.._,....,. . .. ._ - - - ' Q - - - - -
<br /> . .....,,, ._« :-.. ..�.,... .
<br /> .. ... .................�....,..,-• _ _.____.._ _._._,........__..._...____..._e... . _ . .. , -E � . - - - - - —
<br /> .. ..... :. ........ .... . ... r:.. ... .
<br /> _; '='"..:-:..:::�.�:.-.._.._..__..�...._.__"_....'__""",.. ,. . ._ _::.-_.
<br /> ._. _.. ..""___' .. _ _ ' "_" "
<br /> Owner's Name
<br /> � �� ` Owner Phone Number 7] � � 1 ���
<br /> Owners Address �o'ls �" 4 a Owner Phone Nurr ber _�
<br /> Fee Simple Titleholder Name Owner Phone Nurrber ��
<br /> Fee Simple Titleholder Address �
<br /> JOBADDRESS s1a� �� �� � LOT;�i `,'�
<br /> SUBDIVISION PARCELID# t1�pnp��-�7�U'��0��
<br /> (08TAINED FROM PROPERTV TAX NOTICE)
<br /> WORK PROPOSED n NEW CONSTR e ADD/ALT � SIGN � MOVE � DEMOLISH
<br /> �U� INSTALL REPAIR
<br /> PROPOSE_D USE � SFR � COMM � OTHER C --�
<br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTHER �—�
<br /> DESCRIPTION OF WORK '�` Y �`�1 « � � � 1 �`�-=' —�
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT
<br /> .. ._. ... ._. :;: � ....... ....... :::.::: ::: .� � ., ,._ � , . . ... ... .. ... ... ...._.. ._. ._. ..,..... . ... ... ... ...
<br /> ;: � :::...�..... . ...::::�_:�::: ::•:.: .. _..... .. . . .. ._. .......
<br /> .. ......... ... ......... ...... ... ...
<br /> ....:::::: ::::::�..;.. ;.. ..�.;
<br /> � BUILDING $� n�,� O� VALUATION OF TOTAL CONSTRUCTION
<br /> ., C�fL�
<br /> � ELECTRICAL ��I AMPSERVICE � PROGRESSENERGY,% � W.RE'C.
<br /> �
<br /> � PLUMBING $ f � � �
<br /> ����
<br /> � MECHANICAL S VALUATION OF MECHANICAL INSTALLATION
<br /> � GAS � ROOFING � SPECIALTY � OTHER
<br /> FINISHEi7 FLOOR ELEVATIO ` i FLOOD ZONE AREA �YES �NO
<br /> - -. . _. . -.,, � ... . ... ... ........ �.,.. . , . ".-._: �.,..,.., ,�..,. .. _..,.�;.,..,._, :.:�.,_:. .,.. .-� - - -- - - - - .�err:::�::: - - - - - _ -
<br /> . . .�. —. _. ... '" . [ .. ".:: .....�...�... i..:3�:a. ..�.I�rze:r?. 1 v e. —� e "� :.:' ...... ._. .__i.a. "_e�.vr.eeve.._. ._..._....1ieo_�va."e:?vi�e:n�..�a. e:._...._... ._..._. .�..
<br /> :-•:mc.ea;.F_: .�.av. • -.. ._•e:•:e::e:�......._""_'_ _ iy�ei
<br /> -: _.nno:.::: ...: _ ' . ". _....... _. . ... .
<br /> .. _..i... � _s:v: ._. �.:F.. �......-.,:,.
<br /> BUILDER ° COMPANY � � � /I'/� rU��
<br /> SIGNATIJRE REGISTERED Y/ N FEE cuRfiEN7 Y� N
<br /> Address License# ��
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
<br /> Address License# ��
<br /> PLUMBE:R COMPANY
<br /> SIGNATIJRE REGISTERED Y! N FEECURRENT YIN
<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 FEECURRENT Y/N
<br /> Address License# ��
<br /> ::.:::�:::: •:: ::::�:::: � .. ::: ::: .:...:.:�:�:::.._...... ......: ��.�r..:::. ...., ........�..,.o � .. �.:. ............._....... ._.�_�.... .... �...._�.... .- �.. ... .�....�. _ : .... ._.�.�....,.. ......... ........,.....
<br /> ..... .. .�.,-... , _....�....... �3��-: _:�:::::�. ��:::::a::c:::..::r:::: -.. .._...
<br /> ......... ...... �.........:zx::ii ... ........�...........r-:�.::a;::::au.s...o.....er,:a::�.—.:;:::.. E.as n�our,:s::� o3�::i:i...::.....a.. , . . _ . :::r.� i ":::"� �':r.::�: : '..r.:a:..... �. . , .
<br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans, (1) set of Energy Forms
<br /> Minimum ten (10) workmg days after submittal date. Reqwred onsite, Construdion Plans, Sanitary Facilities & 1 dumpster
<br /> COMMERCIAL Attach (3) sets of Building Plans, (1) set of Energy Forms.
<br /> Minimum ten (10) wurking days after submittal date Reqwred onsite, Construdion Plans, Sanitary Facilities & 1 dumpster
<br /> All commercial reqwrements must meet compliance.
<br /> SIGN PERMIT Attach (2) sets of Engineered Plans.
<br /> ""'PROPERTY SURVEY required for all NEW construdion.
<br /> .. _. ._ _. - - -_- _.. .-- --' °"�::;_: : _-�.�: � :, : - _ - _ _ _ _ - - - - - - - -
<br /> _. . _. ._..._ _ �..:=:�:.,�:�'.:..�{:�-3�,-�,.;�.�.�:.:��:::' - - - - - - - - - - - -
<br /> . _ _ ._..,-. __ .�. _. __._ ....._. ._. _ .... . .:. .. - • .... ...4; - g�3::: . . . .. ��.. .� . 3.4� 3�d::. � �
<br /> _. ...,.,�-,....e.,_.._.:ee. ...��:_:�a:-,e:........ .a...�....,..,�f.:�P�.. �:_.,..i_..i...f..r....e��:.{:..,,�.n::.1.....5:.�.._.e�.._e ::3ee_:.�_. _v._._.,_�_ _��_ ��._,.,.._..�_....:..��i.��..,..:...._n.....a..e.�_».e._'____.e _ . ._. ._. _. - .._.._
<br /> . ._ .. ... ..�::.�... .. .._ .c.._....: . :�.� ::..::..:....•..a.:.••-..........._.: ...
<br /> Directions:
<br /> Fill out application completely
<br /> OH,�ner & Contractor sign back of apphcaticr, notarized
<br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over $5000)
<br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone wdh notanzed letter trom owner author¢ing same
<br /> OVERTHECOUNTERPERMITTING (FrontofApphcahonOnly)
<br /> Reroofs Sewers Sernce Upgrades A/C Fences (PIoVSurvey/Footage)
<br /> Dnveways-Not over Counter rf on public roadways needs ROW
<br />
|