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���-�8�-uu�� c;ity of Zephyrhiils Permit Appiication Fax-913-780-0021 <br /> Building Department <br /> +Aate Reeeived Phone Contact for Permittin __ <br /> F / <br /> Owner's Name / � GC Owner Phone Number 3 /S <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name -� Owner Phone Number � � <br /> Fee 3imple Titieholder Address <br /> JOB ADDRESS L S � � � Q � � � <br /> LOT# L_� <br /> SUBDIVISION � PARCEL IDN <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK .��✓S i.4-G L ��� �T��_ � � � <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL a �e AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � �r <br /> QPLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN .. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Athach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wo►king days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaGHtles&1 dumpster,Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of applicatlon,notarized <br /> if over S2S00,a Wotice oi Commencement Is required. (A!C upgrades over i7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wtth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not ower Counter if on public roadways..needs ROW <br />