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s�3�a�-ooso City of Zephyrhilis Permit Application Fax-s��-�eaoo2� <br /> Buildino Department <br /> ��e�e,�� � _ �—� �— � G�� Q / ' -�f.��I� <br /> ...�»�•�-«..�,r :_ . _ Phone CoMact for PermiWng - OC�.XJ <br /> —_ �.r�:�:�_� <br /> Owners Name � �/ �(n m� � , - <br /> Owner Phone Number <br /> Owner's Address ,;�5� �h n�� � � <br /> Owner Phone Numbar� <br /> Fee Simpie Titleholder Name <br /> Owner Phone Number�T <br /> Fes Simpls Titleholdar Address <br /> JOB ADqRESS � 1 ���'1 �� <br /> LOT# <br /> SUBDIVISION <br /> PARCEL IDAt <br /> iNORK PROPOSED (�"� (OB7AINED FROM PROPERTY TAX NpTiCE) <br /> NEW CONSTR � MOVE <br /> ADD/ALT SIGN � DEMOUSH <br /> 4p INSTALI REPAIR <br /> PROPOSED USE � SFR COMM <br /> 7YPE OF CONSTRUCTION Q OTHER <br /> Q BLOCK Q FRAME Q STEEL <br /> Q OTHER(--�� <br /> DESCRIP170N OF WORK k '/P - 1%0►. v` �l1 v1 rtl�� <br /> '� `� . <br /> BUILDIWCa SIZE !y G � SQ FOOTA(3E �D� . ( <br /> HEIGHT ��yY l� , <br /> BUILDING $ ,)� <br /> �glO. V� VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ � AMP SERVICE � <br /> �D� C)C� PROGRESS ENERGY � W.R.E.C. <br /> Q PLUMBING $ <br /> Q MECHANICAL $ � �.�-( " /�'( �� ( <br /> VALUATION OF MECHANICAL INSTALLATION � <br /> � �,� 't-c� <br /> Q GAS � ROOFING �I SPECIALTY � OTHER (\� �� ( �"^ <br /> FINISHED FLOOR ELEVATIONS � �� <br /> FLOOD ZONE AREq QYES aN0 � �0� <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT y/N <br /> Address <br /> C License# <br /> ELECTRICIAN � • �`�-� � � ���Y,S <br /> 31GNATURE ��._- ' COMPANY �-�,�Yl ��n <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> aaaress ��Q�j � � <br /> License# ���� ���� <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> rtECis�rtED Y/ N FEE CURRENT Y/N <br /> Address �� <br /> License# <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> Gisre�D Y/ N �E cu�zrx�Nr Y/N <br /> Address .� <br /> License* —� <br /> OTHER Y ' (////���'///�� � /Q � � / <br /> SIGNATURE " �' � C�X�, COMPANY �CCa/l J�By�T� ��cl 6�3 <br /> r�cis��o Y! N r�e cuix�r� Y/N <br /> ANdrou � , /V. C' .v19 [ . <br /> u�^�# C-S° !�:.10 7a 1-l <br /> RESiDENTIAL Atlach(p)p�a p�a�s:�p�S�s of Buflding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)worfcin9 days eker suM�vttel date. Required onsite,Construcyfan Plans, <br /> Sanitary Fadlities g 1 dumpster,Site VUork Perrnit(pr subdivisions/I ��O^�e�er Plans w/Sift Fence installed, <br /> COMMERCIAL Attach(3)o�r�p�e����Bufl�np Plans plus a Lite Saf P e;i�sepof Enerpy Forms.R-O-W Permit for new construqlon. <br /> Minimum ten(10)wwkinp days afler submittal date, Reyuir�q�$��e�Construction p�ans,Stamwater Plans w/Silt Fence installed, <br /> Sanitary Faciiitles$1 dumpster.Site Work Permit for all new Proleds.All commercial reyuirements must meet compliance <br /> SIGN PERMIT Attach(p)ye�e��g�neered Plans. <br /> """PROPERTV SURVEY required for all NEW conshuction. <br /> Directions: - <br /> F01 out appfication comp�etely <br /> Owner&Contrada sipn back of application,notarized <br /> If over=25pp,a Not7ce of Commencement is required. (q/C upgrades over E5000) <br /> � �D�t�°r�e contractor�or Power of Attomey(for the owner)wouid be someone wi}h no�ariZ¢�letter from owner authoruing same <br /> OVER THE COUNTER PERMITTING (FroM of App�ication Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> DrivewaysfVot over Counter if on public roatlways,.needs ROW <br />