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s�3-�so-oo2o City of Zephyr ills Permit Applica4ion Fax-e�s-�ao-oo2� <br /> . � <br /> , Buildi g Department <br /> Date Received Phone Contact or Permittin -- <br /> , � /1 <br /> O�arner's Idame O�ner Phone Idumber V" 9S^�5�� <br /> �vvvner's Address 1 5 L��� Ot�vuner Phone Number <br /> Fee Sirv�ple Titleholder Mame Ovdner Phone Alumber <br /> Fee Simple Titleholder Address <br /> JOB ADlD6ZESS LOT# � <br /> SUBDI!lISION PARC ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B AbD/A T � SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE O�CONSTRUCTIOM Q BLOCK Q FRAM � STEEL Q <br /> DESCRIPTIORi OF HUORK �`� J ��Q �G`,�. � S � � �, � _ s <br /> BUILDIfdG SIZE SQ FOOTe4GE HEIGHT <br /> OBUILDING $ ��� VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> ✓ <br /> QPLUMBING $ �,L� <br /> � 17 <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECI TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA QYES NO <br /> BUILDIEFt C iWPAtdY �— <br /> SIGfdATURE RE ISTERED Y/ fV FEE CURRE� Y/N <br /> e4ddress License# <br /> ELECTRICIAfV C RAPANY <br /> SIGIdAT'URE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> P�UAA�ER C AflPAMV <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> flAECHAfdICAL C AAPAPIY <br /> SIGR!IATURE RE ISTERED Y/ N FEE CURRE� Y/f�! <br /> Address License# <br /> OTHER C MPANY <br /> SIGfdATOJRE RE ISTERED Y/ N , FEE CURRE� , ,.Y/N .. , .. <br /> Address License# <br /> 12ESIDEMTIAL Aftach(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. R quired onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for ubdivisionsllarge projects <br /> COIIAAflEEtCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. quired onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.Alf commercial requirements must meet compliance <br /> SIGfd PERMIIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cons ction. <br /> Directions: <br /> Fill out applicatfon completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> Ef over�2500,a Notice of Commencement Is required. (A!C upg ades over�7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owmer authorizing same <br /> OVER THE COUNTER PERMITTItdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fence (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />