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s��-�saoo2o City of Zephyrhilis Permit Application F�-a��-�so-oos� <br /> Building Department <br /> Date Received Phone Contact for Permitti _ <br /> Owners Name V(�y �2 r �t7 Owner Phone Number <br /> oig � � <br /> Owner's Address q -F• p,-���� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— —� <br /> Fee Simple TFdeholder Address <br /> JOB ADDRESS `� g`�'� S+� Z e l� r . 1 I s 3 3 5 ��Z <br /> LOT# Z <br /> 3UBDIVISION PARCEL ID# � -v�(o - � � <br /> (OBTAINED FROM PRppER'ry TA7C NOTICE} <br /> WORK PROPOSED e NEw[ONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPO$ED USE � Q SFR � COMM O OTHER Y e � m c <br /> TYPE OF CONSTRUCTION Q BLOCK O FRAME � STEEL Q <br /> DESCRIP710N OF WORK <br /> BUILDING SIZE �— SQ FOOTAGE HEIGH'f <br /> QBUILDING $ �, <br /> Q O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ,,,�"RQpFING � SPECIALTY � aTHER <br /> FINISHED FLOOR ELEV IONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE - Rec�sr�o Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> ELECTRICIAN C�P� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br />�LUMBER COMPANY <br /> 3tGNATURE REGlSTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> VIECHANICAL COMPANY <br /> a1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br />)TMER � COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address io�0`? 1 ov�r �-C- ,Sp��� �L _ License# C-e C <br /> Illlllllilllllllllliilll / llllllllllllllllillllllllillllllillllllill <br /> tESIDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> ..:_:_.._.__,..,, ._,.-- �-- -�_ . .,. . . . � . .. .. . _, _ <br />