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s+�-�eo-oozo City of Zephyrhilis Permit Applicatinn F�-e�a-�eo-oo2i <br /> Buildinp DepertmaM ' / <br /> Da';�icNw;1 �p �3 1 Phone ConMet tor PertNttlng� p �5 0+� – O�' O�>' �� �G� <br /> 1 j <br /> Owna's Nams 'Y1 � Owner Phon�Numbsr � – - '� <br /> Own�ls Addnu 1 C �+vner PAone Numbar � <br /> FN 81mp1�Tiq�old�r N� Owm�Phon�NumWr <br /> Fw Simpl�71tl�hold�r Addross <br /> JOB ADDRESS S( Y� tiI Z � lOT* � <br /> 8UBDIVISION 1l�CC1L4t L'1'�iY PARCELIDX IZ' "Z �O�S ' V <br /> (OBTAINED FROM PROPERTY TA7(NOTICF� <br /> WORK PROPOSED e NEW CONSTR B AOD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK O FRAME Q STEEL � <br /> DESCWPTION OF WORK �e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM9ING S <br /> QMECHANICAL S VALUATION OF MECWWICAL INSTALLATION <br /> QGAS [� ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> suabEre ,�._.__ � coMVa+v �}�R�J 1�Y 10.�v'� C� I <br /> SIGNATURE aEe�srFREO Y � uRa� Y!N <br /> Address ��1 , ( License* � <br /> ELECTRlCUW COMPANY <br /> SIGNATURE rtEwsra�n Y/N �curtr� Y/N <br /> nadroa ucense a <br /> PLUNBER COMPANY �— <br /> 81GNATURE aEasra�o Y/N r�cursr� Y/N <br /> Addrns LIGen»M � <br /> MECFUWICAL COMP/WY � <br /> SIONATURE r+Eas��n Y I N �curu�N Y/N <br /> Addnss license# <br /> OTHER COMPANY � <br /> S�GNATURE r+�casaT�n Y!N ��cuu� Y/N <br /> .Addnss License f � <br /> 111111111111111'IIIIIIIII � IIIIIIIIIIIIIIIIIIIIIIIIIIt / 11111111111 / 11 <br /> RESIDENTWL Attach(2)Pbt Plans;(2)sets of Buildinp Plans;(1)sat af Eneryy Fortns;R-0-W Pertnk for�ew construction, <br /> Minirnun ten(10)workinp days aRer s�Cmitfal data. Requind ontile,Construcfbn Plans,Stormwaler Plans w/Sitt Fenca installed, <br /> Sanitary FadliUw 81 dumpata;Sifa Work Permk for stbdivkbnallarpa projeda <br /> COYMERCIAL Attadi(3).complete aeb W Bufidhp Plans pWs a Ufe Ssfety Pape;(1)set d Ener�Fortns.R-O-W Pertnit for naw constniction. <br /> Minimum ton(10)wadcin0'deys a�r submktal dale. Required onake,Corwtrtktion Plans,Stormwatet Plan$w/8itt Ferae inatallad, <br /> Sanitaary FaciGtiac&1 dumpster.Site Wark Permit for aU new projects.All eanmercial requirements must meat compliance <br /> SIGN PERMIT Atledi(2)seb of Erpinexed Plens. <br /> '""PROPERTY SURVEY nquired for ad NEW carwUixXbn. <br /> Diroctloru:• <br /> Fill out applicetion campletey. <br /> Ownx 8 ConVacior sfpn back oi application,notarized <br /> If ov�r t2600,a NOtic�of Commanc�ment Is nquind. (A!C upprades ovw t7600) <br /> " Apent(tor 1M cordractor)or Povvar af Htlaney(for the o+Nner)would be someone with notarized IeCar from owner authoriziny sama <br /> OVER THE COUNTER PERMI7TIN(i (FroM ot Apd�����N) <br /> Reroofs if ehY�pbs Sewers Servics Upprades A/C Feno9s(PbUStrvey/Footape) <br /> oriv.w.y.-Na ovar c«,nter if«,public roeaways..needa Row <br />