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a�s'�sa-oo2o City of Zephyrhilis Permit Appiication Fax-a��-�saoa2� <br /> , Building Departmenf <br /> Date Received phone ontact for PermYtting �� ��� -- �a�� <br /> Owner's Mame l���b/V J� d�C'LL�� Owrner Phane Rlumber D ����go`�' c,�/� <br /> Ov+mer's Address ��T�! � c°..��Q,? � Owner Phane Mumber � � <br /> Fee Simple Titlehoider Name �ir` � � Owner phone Number ��i � <br /> . � I <br /> Eee aimple Titleholder Address ,_ <br /> `, <br /> .' <br /> Joe aoa�ESS ��'��'d � - o � 4 � . ��ll�s ��S`��- Lor� �� , ', <br /> SUBDI!lISION W��G'L�PJD�G1� ��� PARCEL ID# � �� �` �/�D L���Q ��� <br /> -- ----______ ,.r__ _��_ ,--�._ <br /> - —�--. - - - _—_--_____. <br /> {08TAINED FROM PROPERTY TAX NOTICE) �" ` -� " ~� - ` <br /> FMORK PROPOSED NEW CONSTR ADD/ALT C7 S1GN Q Q DEMOLISH <br /> tNSTALL REPAIR <br /> PROPl�SED USE Q SFF2 Q CflMM � � OTHER <br /> 'fYPE OF COMSTRUCTIOM Q BLOCK Q "�FRAME �� STEEL Q <br /> ,�/�,., I �ry <br /> DESCRiPTION t�F VNORK �� �f�"/'y'i�i� L�{'""'L�C�' � � '��} �C ,G,/�?°Z pn/`e/��" } <br /> BUILDING 51ZE �^ !� SQ F(1pTAG�[_� HEIGHT ��� <br /> � �� V LUA7'lON OF TOTAL CONSTRUCTIC7N - � <br /> BUILDING $ �—. � <br /> [�ELECTRtCAL $ A P SERViCE Q PROGRESS ENERGY [� W.R.E.C. <br /> [�]PLUMBING (�6� , � /�rr.-a Y� <br /> � j �� �.,�., <br /> QMECNANICAL $�1��� �� V LUATION aF MECHANICAL INSTALLATlON <br /> _7 <br /> [�CCAS Q F200FING [� SPECIALTY [� QTHER �j2"`� � � <br /> PINISHEQ FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> �UILDER COMPAtdY - <br /> SIGNATURE REGISTEREQ Y I N FEE CURRE� Y I 111 <br /> Address License# ���r ' � <br /> ELECTRIClAN CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURRE� Y 1 N - <br /> Addr�ss License# �—^ � <br /> PLUMBER � CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N <br /> dlddress License# �— �� <br /> SIGMA URE� � 't-�. COMPANY �7�t� ���'1'il�CTi�-5't'D�� <br /> RECdISTERED Y/ N FEE CURREh Y 1 N <br /> Aildress ��T 1 t..°l1,� /� �� � License# _�✓� ���% �C)� <br /> OTHER • COMPANY <br /> SIGPIATURE REGISTERED Y J N FEE CURREi� Y i N <br /> 1�ddress License# �� � <br /> RESIt3ENT1AL Attach(2)Ptot Fians;(2}sets of Buiiding P ans;(1}set of Energy Forms;:R-U-W Permit for new canstruckion, <br /> Minimum ten(10}worlcing days after subm ttai date. Required onsite,ConstnacUan Pfans,Starmwater Plans w!Silt Fence 3nstalled, <br /> Sanitary Facilities&1 dumpster;Site Wo Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding P1ahs (us a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consknlction. <br /> Minimum ten(10)working days after submitta(da#e. Required onsite,Canstrucfion Pians,Stormwater Pians wt Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Worl�Permit for aIt new projects.A{I commercia)reGuirements must meet compkiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"*"PROPERTI SURVEY required for ali EW construction. <br /> Direckians: <br /> Fill out applicatian completely. <br /> Owmer&Contractor sign back of application,notarized <br /> !f over$254Q,a Nottce of Commeacement is requlre . (A/C upgrades over�7500) <br /> ** Agent(for the cpntractor}or Power of Attomey(for the o er}wouid be someone wlkh notarized letter from owner authorizing same <br /> QVER THE COUNTER PERMI7TlNG {Front of Applica on Only) <br /> fteroofs if shingles Sewers Service Upgrades A! Fences(Plot/Survey/Footage) <br /> � �riveways-Not aver Counte�if on pubtic roadways..nee s ROW <br />