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� aisasaoozo City of Zephyrhill Permit Application Fax873-780-0021 <br /> Building DepaAment <br /> Date Received j! ($ /(� <br /> Phone Contactfor ertnittin �-( , � <br /> Owners Name � L � Owner Phone Number <br /> Owners Address ✓C� � S� 1 Y�l".S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �r" �7'✓' � T—e /' `(� LOT# � <br /> SUBDIVISION PARCEL I # � "��—�� —�O r d " ���C 6 ^�(��,d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � ✓�2�-J S�t K � [>/Z / t�:�r� <br /> BUILDING SIZE SQ FOOTAGE � � b`� HEIGHT � <br /> /� BUILDING $ �Q� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� I <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C.� �� <br /> �GAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER �/�e� COMP NY � i^L/1 l' ci/✓' _2�_Gl <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address , U e('f Z�I�� License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST ED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMP NY ��<�1 C (iltiy'/� <br /> SIGNATURE REGISTE ED Y/ N FEE CURREN Y!N <br /> Address �y7 � �e � i/ �S License# <br /> 11111111111111111111 11111111111111 1111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requir d onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdi 'sions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Requir d onsite,ConsVuction Pians,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all ne 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:• ��#��TT^ µ�— <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />