Laserfiche WebLink
' s��.�eaoo2o City of Zephyrhilis Permit Application Fax-613780-0021 <br /> Building Departrnent <br /> Date Received `j.ZZ�3 Phone Contact for PermitUng <br /> Owners Name Owner Phone Number <br /> Ownsr's Addreaa (' Owner Phone Numbar�� <br /> Fee Simple TItlHalder Name Owner Pbone Number�� <br /> Fes Sunple TRleholdar Addrass � <br /> JOB ADQRESS � ��� — �� <br /> LOT# <br /> SUBDIVISION � pARCEL IDk� '��;�I�C�I 1�'CY��� ��`) <br /> Ios7NNEn PRO�r m Tnx No'ncE) <br /> WORIC PROPOSED � NEW CONSTR e ADD/ALT � SIGN �py� Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �� COMM Q OTHER �'—"� <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL OTHER 1��,` �g r � <br /> DESCRIP110N OF WORK �a✓1��'- �zTKk�. lr ' � �(�+ - � � � . <br /> �� <br /> ����'s� SQ FOOTAGE HEIGHT <br /> BUILDING $ 7ODO.Od VALUATION OF TOTAL CONSTRUCTtON <br /> � ELECTR�CAL $ �O.� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ �' . ' J � 'J�I��'��� <br /> , � � ' �� <br /> Q 6AECHANICAL �� VALUATION OF MECHANICAL INSTALIATION •7 1(�.f,'Y <br /> G����c�� <br /> Q GAS � ROOFING � SPECIALN � pTHER � � „�Jv�'„� ��M;iYCZ('� <br /> FINISHED FLOOR ELEVATIONS � '� �� � <br /> FLOOD ZONE AREA Qy�$ ONO <br /> � � �� <br /> BUILDER COMPANY <br /> �G��� �a�c�s�rs�� Y/ N �E cuR�rrr y!T� <br /> Adtlrees �— '1�' �� <br /> license# <br /> ELECTRICIAN OMPANY -�J� -�C�� ����j Qy�j'� <br /> SIGNATURE REGISTERED Y/ N FEe RErir Y 1 N <br /> aadress t�fU ST l� 5� N C.(�tr�,x.4<r,�L 3a76L ucenae# �S-/zc���z z <br /> PLUMBER COMPANY <br /> �G��� REC�s7Er2EO Y/ N FEE cuRRENr Y I'N <br /> Address - �� <br /> License!� <br /> MECHANICAL COMPANY --� <br /> SIGNATURE aeci D Y! N �c��rrr Y/N <br /> A�� License# �� <br /> OTHER � COMPANY �C�YI cJ-��?'1 J�L si�G-���I�� <br /> SIGNATURE r�cis�o Y/ N r�E c�nrr Y/N <br /> Address r7 �S .�-..+ �CO� <br /> •AJ. .2 L2 L337!' 2 tacense# �s -�a ovo7Lz <br /> - ���: <br /> FtESI�ENTIAL Attach(2)Plot Plens;(2)sets of Budding Wans;(1)set of Energy Forms;R-O-W Pertnit for new construdion, <br /> Minimum ten(1D)working days aRer yupmil�i date. Reyuired onyite.����p�ns,Stamwater Plans w/Sitt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Wbrk Permit for subdivisionsll�ge pn�jects <br /> COMMERCIAL Attach(3)eanplete sets pf gu0ding Plans plus a L'rfe Sa(ety pege;(�)set of Energy Forma.R-0.W PerttNt for new construcUon, <br /> Minimum ten(10)worlciny days afler submiRal date, Required onsite,Construction plans,Storthwater Plans w/SiR Fenee inataBed, <br /> Sanitary Facilities&1 dumpster Site Work PermR for al�new prejeds,y��m�rp�requirements must meet cqnpG�ce <br /> SIGN PERMIT Atlach(2)sets of Engineered pians. <br /> ""'PROPERTV SURVEY required for all NEW constructipn. <br /> � rtnrtmr <br /> uuecuons <br /> FiN out application completety <br /> Owner 6 Contractor sign badc of appfication,notarized <br /> If over s2500,a NoUcs of Commencsment is required. (A!C upgrades over g5000) , <br /> "' Agent(for fhe conUador)or ppi,ver o{qttomey(for the owner)woutd be someone with nofarized�etter{rom amer authorizing same <br /> OVER THE COUNTER PERMITTING (FroM of App�ication Only) <br /> ��S Sew�s 3ervice Upgrades A/C Fences(p�oUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roaAways..needs ROW <br />