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s���so-oozo City of Zephyrhilis Permit Application Fax-s��-�ao-ooz� <br /> Buiiding DepartmeM <br /> Date Received � Ph�, �3 K�t 9 - oy 2. �� �!� 5' S U� <br /> m_r�r� . . �Z�� <br /> OwneV's Name a PC Y P Z Owner Phone Number <br /> Owners Address � q3 i� `Gj U ���S Owoer Phone Number �� <br /> Fee Simple TrtlehoMer Name Owner Phone Number �— <br /> Fee Simple Titleholder Address —� <br /> JOB ADDRESS /"I�1F' C Q� I Z 1 I S LOT# �_ <br /> SUBDIVISION PARCELIDM S"ZS 'Z 1 '" C���O 'ODO 'a�{' <br /> (OBTAINED FROM PROPERTI'TAX N0710E) <br /> WORK PROPOSED B NEw CON57a e ADD/� � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710N OF WORK ( ��r� � � <br /> BUILDING SItE SQ FOOTAGE ���� HEIGHT � <br /> QBUI�DING $ � �"]� VALU FTOT TRUCTION <br /> C• <br /> QELECTRICAL s � yS O p CE � P OGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ I/i S/�� � '�( �I �(/I �� (,/ <br /> ., , � l s <br /> QMECHANICAL a � �C� V ATION OF MEC INSTALLATION / <br /> J <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR EI_EVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY f•i,l• L L�✓ l' �S�ru C�f O�7 <br /> SIGNATURE r�c,�s�r�D Y/ N F�cua�en Y/N <br /> Address ��P{� S . -s �" �1.t�Z 3Ss-1 Licensei I..UCd���� � • I <br /> ELECTRICIAN - C�- V"V,t'--�Gl.v� COMPANY Gt� Ci f`rCj i.L�"r�/�Ca I \G- '�.L�\C' • <br /> SIGNATURE ` � - 1 � r�Gis�r�o Y! N �curaxen Y/N � <br /> Addfess �{�` i ' 1"'"l . 3 Licensei� C2.�� � /p� <br /> PLUMBER � COMPANY �a �G�,cN.n"����� �Gl �O <br /> SIGNATURE REGISTERED Y! N �cimrten Y/N <br /> �_,�,,�,s$ l�4z4 nr^ N "T. h � 3 �.13 License# r��C-0 ��2�� <br /> �i � � <br /> MECHANICAL C�pp� <br /> SIGNATURE �cisrEr�o Y/ N F�cu�n Y!N <br /> Address <br /> License�R —� <br /> OTHER COMPANY —� <br /> SIGNATURE � �cisreaeo Y/ N �cur�n y i N <br /> Address License# —� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0.W Permit for new construction, <br /> Minimum ten(10)working days after submittsl date. Required onsite,ConsWcfion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster;Site Work Pertnit for subdivisions/large projec[s <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consVuction. <br /> Minimum ten(10)working days after submittal date. Required onske,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FadliGes 8 1 dumpster.Site Work Permit for all new projects.All commercial requiremeMs must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engincered Plans. <br /> "'"PROPERTV SURVEY required for all NEW construclion. <br /> Dlrections: <br /> Fill out appNca6on completety. <br /> Owner&Contrador sign badc of application,notar¢ed <br /> If over 52500,a Notice of CommencemeM is roquired. (A/C upgrades over=7500) <br /> " Agent(for the contractor)or power of Attomey(fw the owner)would be someone with notarized tetter(rom owner authorizing same <br /> OVER THE COUNiER PERMITTING (Front of AppNcation Ony) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter H on public roadways..needs ROW <br />