Laserfiche WebLink
sa�aso-oo2o City of Zephyrhi�ls Permit Applicatian Fax-843-780-0024 <br /> Building Department <br /> _ r <br /> I <br /> pate Received phone Contact f r Permitting -- <br /> O�roner's Mame ��- 1ti,,, �L�c .�?,,Kj �. Owner Phone Mumber 0 l �` �� 0 �l�`T � ( <br /> � � � <br /> Owner's Addr�ss � J�.9� � ti ,n� � � (.� O�nmer Phone idumber <br /> Fe�Si¢nple Titleholder ldam� � y1-� ���,. � ( �Wk Z �wne��hone t�tumber �� � <br /> I <br /> Fes SimpEe Tttieholder Addr�ss <br /> � <br /> JOt3 ADDRESS � (�` i�'` f°i �J g--�r,. � �.QT:# �� " <br /> �:.� <br /> su���v�stat� � � �s�c��"t�# �♦� <br /> _,_ I _ (OBT9INEDFROPoIPROPERT_YTAX.MOTICE)_____._____ _ ____ __ __ <br /> WOFtGt 1'6tOPOSED NEW CONS7R ADDlAL�T [�] $!GN Q � DEMOLISH <br /> iNSTALL 8 REPAIR <br /> �'ftOP03�[�USE Q SFR � COfVIM � OTHER. <br /> 'T'1'�'E€JF COMSTEtUG'fiiOM � B�OCK Q FRAME�� [� STEEL Q <br /> t��xCRt�'TIQM OF Fhf�lRiC �7P 1,�C>eJ <br /> 1��JI�.�tMG SIZE ���� St�pOOTAGE�� H�IGtfT ��� <br /> OBUlLDlNG � L j--� �AtUATlC} OF TQTAL CQt�STRUC710N <br /> ,,......,�� <br /> �ELEGTRtCAL �5 --� AMP SERVlCE � PROGRESS EPVEf2GY Q W.f2.E.0 <br /> �PLUMBING � � <br /> QMECHANICAL � � VALUATIO OF MECNANICAL INSTALLATIOfV <br /> �GAS � ROOFING Q SPECI� LTY QTHER <br /> � <br /> FIN(SNED FLOOR ELEVATtONS (��� FLOO ZONE AREA [�YES NQ <br /> L <br /> +�u��.��� c I M ATdY � �2 t�1 c�c� ��5 <br /> � � <br /> S1Gid41TURE R�GISTERED Y J (V FEE CURRE� Y/N <br /> �ddress � L9cense# �� � <br /> IEt E�TRICIAM C�IUIPA�lY <br /> a1GidATl1RE R GISTERED Y/ IV FEE Cl1RRE� Y/IV <br /> Address � Llcense# �— � <br /> P�!!l4�BEl2 COMPA[dY `. <br /> SIGRId►TURE REGtSTERED Y J N FEE CURRE� Y J(V <br /> ......��_-........ � <br /> �ddress ( License# �— � <br /> 14�IE�HANtCAL OIMIPAtdY <br /> SIGINATURE tiEGISTERED Y I N FEE CURRE� Y/(V <br /> i <br /> Address � �icense# �—i �� <br /> C?THEF€ OMPANY <br /> SIGTIA'Tt1RE EGtSTERED Y/ N FEE CURREt� Y/IV <br /> Address - I License# � � <br /> ftESID1EMTiAL Akkach{2)Plot Plans;t2)sets of Building Plans;{1) et of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten{14�working days alter submittal date. Required onsite,Construc#ion Pfans,Starmwater P1ans wl Silt Fence instailed, <br /> Sanitary Fecllities&1 dumpster;Site Work Permit f r subdivisians/large projects <br /> GOt�iM�RC1AL Aftach(3)complete sets of Buitding Plans ptus a�!f Safety Page;(1)set of Energy Forms.R-C1-VY Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcfian Plans,5tarmwater Pians wJ Sitt Fence installed, <br /> Sanitary F�cilities&1 dumpster.Site Work Permit f r ail new projects.All commercial requirements must meet compliance <br /> S1GTd PERMIIT Attach{2}sets af Engineered Plans. �- � � <br /> •'*"PROPERTY SURVEY required for aif NEW construction. <br /> —_ iu�riuiar����ia,L�i�.s�iuya.�� <br /> �,.�,., �,���,�,�.� <br /> Dir�ctlons; <br /> Fill out apptication completefy. <br /> Owner&Contractar sign back of application,notarized <br /> if over 52500,a Notice ot�ommencement is required. {A1C u grades over�7500} <br /> "b Agent(for the contractor)or Power ot Attomey(far the awner)wou d be someane with notarized letter from owner authprizing.same•�•-- �; <br /> 4 <br /> OlfER THE COt3NTER P�RMl7TING {Front of Apptica�on Only} _ _' �._'' <br /> Reroots if shingles Sewers Service Upgrades A/C Fen es(PIot/SurveylFaotage) ' ` '„ " ' - <br /> Drivevuays-Not aver Caunter if an public roadways..needs RQW - �'� _ -�� ° ' `"'�"� . <br />