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a�3-7ao-oo2a �ity of Zephyrhilts Permit Application • �•- - - - <br /> Building Department <br /> Date Received � ..� - Phone Contact for Permittin O �� v� <br /> Owner's Name // �� �/,/ �IJ� r � Owner Phone Number �����✓�r v <br /> Owner's Address � d g ys - 90 J�l� lU� a�✓� �u �����"' Ph"C yumber�— <br /> Fee Simple Titleholder Name Owner Phone Number� <br /> Fee Simple Titleholder Address <br /> JOBADDRESS cl��O I7 ���' � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADDlALT �] SIGN Q MOVE [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK `�6i(/��G J`�Gr - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL ($ —� AMP SERVICE � PROGRESS ENERGY Q WR.E.C. <br /> � <br /> � PLUMBING $ �J (/DD� � �r��1 �J <br /> d,� ( ���l/ � <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING [� SPECIALTY Q OTHER � (� ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ON� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> ' SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER � , COMPANY r ur . ,� � I� <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address •(/• � / (� �� b� License# /" <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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& 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)sets of Building Plans;(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&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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (A!C upgrades ove�55000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />