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°"-'61-""`u C:itu ot Zephyrhilis Permit Appl�cation Fax-�13-780-0021 <br /> Building Department <br /> Date Rec�ived <br /> Phone Contact for Permittin __ <br /> f .1 -. ,�/� <br /> Owner•s�Name C�c� � �O!' I ►' t� e'— Owner Phone Number 8l3) '7 3 3 -- �y�f 9 <br /> Owner's Address ��( � (eU1'�� S1-,recZ'f Ory�er Phone Number <br /> Fee Simple Titleholder Name _ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5y I 1 I�y�'�-I1 �,�.��" Z� � �h�l 1 S� LOT# � <br /> SUBDIVISION PARCEL IDA� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> kVORK PROP03ED � NEW CON57R 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALI REPAIR <br /> IPROPOSED USE [�] SFR Q COMM C� OTHER <br /> 7'YPE OF CONSTRUCTION Q BLOCK [] FRAME [—� STEEL �] <br /> DESCRIPTIONOFWORK � I�aCC', ��CtS�'ir� C�,,�,� ��nk (��,� �e��` �i�� �`,� Q-� , �C � ' a�(� <br /> BUILDING SIZE �FOOTAGE "�«'�hnl HEIGHT <br /> QBUILDING 3 � VALUATION OF TOTAL CONSTRUCTION <br /> �,aco • �d <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <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 D yt�Q� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> 51GNATURE 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 /> IIAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)wotking days after submittal date. Required onsite,Construction Plans,Stotmwater Plans w/Silt Fence instalied, <br /> Sanitary FacfBtles�1 dumpster;Sfte 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 submiltai date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities S 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 required for all NEW consUuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Conhactor sign back of appflcaHon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> "" Agent(for the contractor}or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppNcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />