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8,3-�so-oozo City of Zephyrhilis Permit Application Fa�
<br /> Building Department
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<br />� Da�,e Received Phone Co tact tor Permittin __
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<br /> Ourner's Idame !�/'J� �.. Owrner Phone Mumber 6 �p � , l
<br /> O�nmer's Address ,s�j�y� �,� � Owmer Phone INumber I
<br /> Fee Simple Titleholder Name � OvHner Phone Idumber
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<br /> Fee Simple Titleholder Address �
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<br /> JOB ADDRESS .f� 7 /� � � LOT# �
<br /> SUBDIVISIOPI P�RCEL ID# /��- � � �/(} a� (�`S�
<br />'`v -'_-- -' ---- --- - - - l - - - - -�' -�-(l7BTA1NEDFRORA'PROPERTYT/►XPlOTICE)-� - .-
<br /> WORK P6tOPOSED NEW CONSTR A�D/ALT
<br /> � SIGN Q Q DEMOLISH
<br /> INSTALL �8 REPAIR
<br /> PROPOSED USE Q SFR Q COMM_ Y 0 OTHER
<br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME � STEEL Q
<br /> DESCRIPTIOM OF NF/ORK �i'¢ �� �,�� ��
<br /> BUII.DIfdG 51ZE SQ FOOTAGE � HEIGHT
<br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTIOIV
<br /> QELECTRICAL $ AMP S�ERVICE Q PROGRESS ENERGY
<br /> Q W.R.E.C.
<br /> QPLUMBING $
<br /> �MECHAfVICAL $���� VALU TION OF MECHANICAL INSTALLATIOfV
<br /> ��. �
<br /> QGAS Q ROOFING Q SpECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> BUIL.DER CORAPANY
<br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> �►ddress � License#
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<br /> ELECTFtICIAN COMPANY
<br /> SIGRU�7'URE REGISTERED Y/ N FEE CURRE� Y/IV
<br /> Address I License#
<br /> PLUMBER COAAPAtdY
<br /> SIGWATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address f Ucense# � I
<br /> MIECHANICAL COMPAPIY �t f,� /��(_- CO �-�
<br /> SIGfdATURE l/,� REGISTERED N FEE CURRE� N
<br /> , �
<br /> Address l.�J O �a.�.� � � License#.
<br /> OTHE6i COMPANY
<br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y I N
<br /> 6lddress _ ! License#
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<br /> RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;('��)set of Energy Forms;R-O-W Permit for new construction,
<br /> Minimum ten(10)woticing days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitfes&1 dumpster;Site Work Permi�for subdivisions/large projects
<br /> COMRAERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon.
<br /> Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facillties&1 dumpster.Site Work Permi for ali new projects.All commercial requirements must meet compliance
<br /> SIGf�PERMIT Attach(2)sets of Engineered Plans.
<br /> '•""PROPERTY SURVEY required for all NEW co struction.
<br /> Directions: -
<br /> Fill out application completely.
<br />� Ovmer 8 Contractor sign back of application,nota�ized
<br /> I •• If over 52500,a Notice of Commencement(s required. (A/C upgrades over�7500)
<br />� Agent(for the contractor)or Pow!er of Attomey(for the owner)would be someone with notarized letter from owner authonzing.same � ;
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<br /> ONER 7HE COUNTER PERAAITTING , (Front of Application Onlj�)��� "' � � '' f-Y�" ` •. • , ;
<br /> Reroofs if shingles Sewers,i ��Servlce Upg�ades.�-.NC,;��,'F�nces(Plot/Survey/Footage) � • .'• J � - �, - ' :i
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<br /> u e'rifon °utilic'roadwa's::needs.ROV1l _ _,� „ ,,, _ , _ . , �
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<br /> Drivewa s-Not o _. . Y . -r,� . . . -•
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