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„ 8�3-780-0020 City of Zephyrhilis Permit AppliCation Faz-81�-780-0021 <br /> � <br /> Bwldmy Depanment <br /> � Date Recerved -� �.,''- S phone Contact tor Permitt�ng ! V ��� ' _�� <br /> - ------ -- --- - - -�T 1-f�-1- -- <br /> -1 1-1-I 1�1-1-1-- <br /> ►�� � .__--.. ._ gi -�g8-� S$Zs <br /> Owner's Name Owner Phone Number <br /> Owner's Address ^12� � �� T+G ( `�+ Owner Phone Number �� <br /> Fee Simple Tilleholder Name Owner Phone Number �� <br /> Fee Simple Tiqeholder Address � <br /> JOBADDRESS 21 SJ � 1 S {� 33�42- LOT# � <br /> Sl16DIVISION r ( S PARCELID# 11� `�� ZI -VO ID- cr�,.�V�'� v��� <br /> (OBTAINED FROM PROPEf1TV TAX NOTICE) <br /> WORK PFOPOSED e NCw COrvsTit 8 ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER -� <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � �--� <br /> DESCRIPTION OF WORK L ulJ ��� ��- �' ���r'� <br /> � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> �f CP,-�IT*,P'r'�T��TITT�TTi"TTrTT�TrT�T�TTT�TTrTrTTTfTI'7TTTr <br /> �BUILDING � ��,+�,.� VALUATION OF TOTAL CONSTRUCTION <br /> !! <br /> �ELF_CTRICAL � AMP SEAVICE � PROGRESS ENERGY W.gE.0 <br /> C�`��-� ���c ����'sa.�.. <br /> �PLUMBING 5 �,�/ ��ryi„e�t�- ��- <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> IJDD�- - klU�•`� <br /> �GAS � ROOFING � SPECIALTY � OTHERL�Q.✓� , <br /> FINISHED FLOOH ELEVATIONS FLOOD ZONE AREA �YES NO <br /> .�.--^-•--r•.-.�.--r•.-�.-r�-...r�.�-.-.-� t��'�..r�.�-:��-^.-.-�r�.�+-r.-���.--r�.�.�:-:-i- <br /> . � . . v \./ ✓ . . <br /> BUILDER , COMPANY �'��V C�rA � OOIrS <br /> SIGNATURE REGISTERED Y N URREn Y/N <br /> Address �� 11 l. �1 J {r�Ls �-3 a✓7” License# C�ctas8�o5 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License k �� <br /> PLUMBER COMPANY <br /> SIGNATURE � aecisreaeo Y; N Fee cuaqen V/N <br /> Address License H �_� <br /> MECHANICAL COMPANY <br /> SIGNATURE � REGISTFRED Y! N FEE CURRE� Y/N <br /> Address License N �� <br /> OTHER � � COMPANY � <br /> SIGNATURE aECisTEaEO Y/ N FEE cuHREn Y!N � <br /> Address License# �� <br /> I 1 I 1 I I I 1 1 I I 1 1 I I 1 I 1 I I 1 1 I I 1 1 1 1 i ! I 1 1 I t I 1 I 1 I I t I 1 1 I I 1 I 1 I 1 1 1 1 I I 1 1 1 I 1 1 i 1 I I <br /> RESIDENTIAL Attach(2)Pbt Plans,(2)sets ot Building Plans,(t)set ot Energy Forms;R-0-W Permit for new construction. <br /> Mmimum ten(10)working tlays after submittal date Reqwred onsile,Construclion Plans,Stormwater Plans w!Sdt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permd for subdrvisions/large pro�ects <br /> COMMERCIAL Attach(3)complete sets o�Budding Plans pWs a Ute Safety Page,(1)se�of Energy Forms R-O-W Permrt tor new construdion. <br /> Minimum ten(10)working days after submitlal date Required onsrte.Consiruction Pians.Stormwaler Plans w!Sdt Fence mstalled. <br /> Sanrtary Facilities&7 dumpster Sde Work Permit for all new pro�ects.All commercial requirements must meet comp6ance <br /> SIGN PERMIT Attach(2)sets of Engmeered Plans. <br /> "*'PROPERTY SURVEY reqwred tor all NEW construction. <br /> �-F-1--4-N�1-a-d-NNI--i--4-1-1-L-i�-i-F.1-{--F�1-d-4�i-�i-F.�HF�.�:-V.FI--F�4-F-�..I�H4�d-' '...-F:�-1-i�-i-1�-4-{--NI-1�-L�•1-1--f- <br /> Directions: <br /> Fill out applicanon completety <br /> Owner&Contractor sign back of application,notar¢ed <br /> It over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(tor tne contractor)or Power oi Attomey(for the ownen would be someone wnh notanzed letter irom owner aNhonzing same <br /> OVER THE COUNTER PEflMITTING (Front of Apphcation Onlyl <br /> Feroots d shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter it on public roaaways.needs ROW <br />