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s�3�ea-oozo City of Zephyrhilis Permit Application Fax����so-ooz� <br /> Building Departrnent _�. -- . - ' � <br /> �-_ <br /> Date Rec�ived S_ — Phone Contact for Perni in9 �11 — Q �`j <br /> 7"TTrf <br /> Owners Name P� �, � � Phone N �� <br /> �b.�e�__ _.. ���_. J-3- g <br /> Owners Address � S t"� S�{ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION PARCELIDIJ I ` , �"�1� I Q� � <br /> (OBTANED FROM PROPERTY TAX N07N:E) <br /> WORK PROPOSED B NEW CONS?R 8 ADp/,4LT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSiRUCT10N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK y—C �/�j� � S�"Ly� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $ Q', VALUATION OF TOTAL CONSTRUCTION <br /> `f <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ . / <br /> V �/ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �S y u�h S� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � `�� �r <br /> FIN�SHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO Lt� � L"�,��� <br /> � <br /> BUILDER � ' <br /> I COMPANY A �"-� � �, �° <br /> SIGNATURE REGISTERED N FEE CURREI. Y/N <br /> Address 1� �,� � '}l. Es �� License* v * <br /> ELECIRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf� Y/N <br /> Address <br /> Lioense s <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �E c�iaEn Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �cis�rtEO Y/ N FEE CURRE� Y/N <br /> Address <br /> Liceitse i1 <br /> OTHER � COMPANY �— <br /> SIGNATURE �cisrErtEO Y/ N FEE CURRE7. Y/N <br /> Address License# �--� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dffie. Required onsite,Construction Plans,Stoimwater Plans w/Silt Fence installed, <br /> Sanitary Fecilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets d Building Plans plus a Life Safe4y Page;(1)set of Energy Fortns.R-O-W Pertnit for new cansUvction, <br /> Minimum ten(10)working days aRer submiltal date. Required onsite,Co�stniclion plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for aR new projects,,q�l cammerdal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of EngineercU Plans. <br /> ""'PROPERTY SURVEY required for all NEW oonstruction. <br /> Directions: <br /> Fill out application completery <br /> Owner&Contractor sign badc of application.notar¢ed <br /> If over 52500,a Notice of CommencemeM is required. (AIC upgrades over s7500) <br /> " Agent(for the coMractor)or Pwaer af Atfomey(fa the owner)would be someone with notarized lefter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicadon OMy) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footape) <br /> Driveways-Not over Counter'rf on puWic roadways..needs ROW <br />