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a�s-�ao-oo2o City of Zephyrhiils Permit Application Fax-ais-�do-oozi <br /> Bwlding Department <br /> ' Date Received ' , � � � L_ <br /> Phone Contact for Permitting v�3 -- J <br /> � � rrr � � � _� � � � � � � � � <br /> Ownefs Name �+ I Owner Phone Number $a'�� <br /> Owner's Address C'y Owner Phone Number <br /> Z f <br /> Fee Simple Titleholder Name ___ ___ _ Owner Phone Numbcr <br /> Fee Simple Titleholder Address � � <br /> JOB ADDRESS �I ' I` � LOT# �� <br /> SUBDIVISION {.�J PARCEL ID# ���a�Q p�'������ ,� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW cONSTR 8 ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> 7YPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK a�s � � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �� <br /> �BUILDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ /�� �� AMP SERVICE � PROGRESS ENERGY � W R E.0 <br /> l <br /> �PLUMBWG $ L, <br /> [_�� �'c�� <br /> � MFCHltNICAL �—1 VALUA-fION O�MECHANICAI_WSTALLATION <br /> J <br /> �]c�ns U HooriN� �] s�ECin�rv �] ortiEH <br /> F INISHED FLOOR FLEVATIONS �� FLOOD 70NE AREA �YES NO <br /> �T.���T�- L' <br /> BUILDER t�/ � ~COMPANY �f� � <br /> U, <br /> SIGNATURE G�, REGISTERED Y/ N FEE CURRE ' Y/N <br /> Address License# �— � <br /> ELECTRICIAN � i/!1/J COMPANY v/�L�w7��`�'< < �2� <br /> SIGNATURE «'��� REGISTERED Y N FEE CURRE� Y/N <br /> Address <br /> License# �Z-!30�3i p�L <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N Fee curtRen Y/N <br /> Address License# �-- � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y! N FEE Ct1RRE� Y/N <br /> Address � <br /> License# <br /> OTHER � COMPANY �— <br /> SIGNATURE REGISTEREO Y/ N FEE CURREP Y!N <br /> Address License# �---� <br /> 1 1 1 1 I I I 1 I 1 1 1 1 I 1 I 1 1 I I 1 I 1 1 1 1 t 1 1 1 1 1 1 I I 1 I 1 I 1 1 I I I 1 1 I I 1 1 I 1 I 1 1 1 1 1 I I 1 1 I t 1 1 I <br /> RESID[NTIAL Attach(2)Plot Plans,(2)sets of FSUild��ng Plans,(1)set of Cnergy{=orrns,R-0-W Permit for n^w construction, <br /> Minimum ten(10)working days afler submdtal date Required onsite,Construction Plans,5'nrmwater Plans w!Sdt Fence installed, <br /> Samtary Facilihes&1 dumpster,Site Work Permit for subdivisions/large projecls <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page,(1)set of Energy Forms fZ-O-W Permd for new construction <br /> Minimum ten(10)workmg days after submittal date Reqwred onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sandary Facihties&1 dumpster Ste Work Permit for all new projects All commeraal requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consUuction <br /> Di rections: <br /> Ftll out apphcation completely <br /> Owner 8 Contractor sign back of appiication,notar¢ed <br /> If over a2500,a Notice of Commencement is required. (A!C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)wou�d be someone wdh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITNG (Front of Applicahon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on pubhc roadways needs ROW <br />