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a�s-7sa-oo�o I City o#Zephyrhi3ts Necmjt y►ppttcac�on .M��.� .����--. <br /> ' '/^"�-~-- ( Building Department <br /> I <br /> 1. <br /> Date Ftecelved �,,,�.j=`� p�ane Contact for Permitting �� �v — ��-3'� , <br /> �^ ' ` �1..�'-�!'9 ' <br /> Owner's Name G.�G�rf/�� �r,; Owner Phone Number "S`,d.�3 i <br /> Owner`s Address t�� � J��� - l' Duitzier Phone Numbei� � <br /> Fee Simple TifEehalder Na�ne � � ' Ouvner Plione Nuiriber�� � <br /> Fee Si�iple 7ifEeholder Address` � , <br /> .lOH ADDRESS 6�/,� �"' � LO?�# �� <br /> , _- . } . . <br /> 5UB�IVISICIN ��r f��y� '� PARCEL I�# OY"."�6'��?l~ C��O'"`�G���°�4 - <br /> , � {OSTAINED FROM PftOPERTY TAX NOTtCE} � <br /> WQRK PROPOSED ' e , NEW CONSTR e ADD/ALT C] SIGN [� , MOVE Q , DEMOLISH , <br /> � INSTALl REPASR <br /> PROPOSED USE - [� � SFR [�- � COMM Q OTHER <br /> TYPE OF Cf3i�iSTRUCTICI{+1 Q � BLOCK � FRAl1ttE ..Q STEEl. � t?THEE2 <br /> � _ , .� . . _ <br /> DESCRIPTiQN OF WORlC Gt:� �=-��" - XF� � �G�-/� .s"`� <br /> BUIGDING SIZE I " ( SQ FOO'fACE��� HEIGHT �� , <br /> c�. BUILDING $ .iJ��r ��,� VALUATIQN OF T07AL CONSTFtUCTION + y l �pOO` � <br /> l �t ti <br /> � ELECTRICAL r � � AMP SERVICE � PROGRESS ENERGY C] W_R.E.C. <br /> 0 PLUMBING ' ' $� I � '�G—�--7G� <br /> , � �, <br /> Q MECHANICAI. � $; ; � VA�.UATiON OF MECHANICAL INSI'ALtAT10iV � r .��` �G�.I'I <br /> _ � y -1 ,�, �... P <br /> � .� � �a,s -_ � C� ;� RooF�ro� _[� sPECr�r� Q �o�t���z - � � , <br /> FINlSHED FLOOR ELEVATI�QAlS FLOOD ZONE AREA QYES QhfC1 <br /> . .4 _, <br /> BUILDER t I � - ` c COMPANY �/�'C%�r*3'.✓ �cr'��.2�2 <br /> SIGNATUI2E %� �``'' �e���si��o ` N �cuR�r Y�/N <br /> Address / r�h+rv6./C B�t.� C�t�rz„1s4r"FC 3�' 62. , - . l.icense# �/-2S�i%63 � <br /> . � „ <br /> ELECTRICIAN. . � �� , " CqMPANY <br /> SIGNATURE ' ti��is��n Y/ N FEE GURRENT. - Y/N � <br /> . i � � <br /> Address j ' i � - License# <br /> I <br /> Pl.11MBEi2 � ' , COMPANY ' . <br /> SIGNATURE � ; � i �e�cis��zEn Y/ N - FEE CuRRENT �Y/N <br /> � � � <br /> Address I [ ` � �iCense# <br /> MECHANtC;�� f � ` C+b141PANY � <br /> - SIGNATURE f REGISTERED � Y/ N , FEE CURREN7 Y/N , <br /> Address � � - Ucense# �� � <br /> -- -dl'HER � -. . __. �,. . _._._. M�g Y . <br /> SIC+NATUFCE �I � tx�sisTertEO ' Y/ N FEE CURRENT� I�IV� �"------- <br /> Address . , . _ - ' License# � � <br /> R�SiD�NTiAt Attach{2}Pto�Plans;(2}se#s af Buitding P3ans;{1 j set o#Energy Fortas;R-0=W Percnit for new construction, <br /> Miniriium ten 0)woridng days after submiRtat date. Required onsite,Gonstruction Ptans,Stormwater Ptans w!Silf Fence insfaifed, <br /> - Sanitary Facifl es&1 dumpste'r,Site Work Permit for subdivtsionsAa�ge projecis <br /> COMN6ERGlAL Attach.(3}co plete sefs aF Bu�lding Pfans plUS a i..ife Safefy Page;('!}set of Energy Forms.R-O W Percnif for r�ew cans#ruction. <br /> . Minirlwm ien �10)working days after submittat dake. Required o�site,Construc6on Pians,Stormwater Plans w/Siit Fence insta8ed, <br /> Sanitary Fecilities 81 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGid PEE2Mli' Aftach{2}sets of Engineereci P1ans. - <br /> """PROPERTY SURVEY requirecl for all NEW consUuc�on. � _ <br /> D3rec#�arts: � � � I -- . <br /> FII out application completely.( . <br /> Owner 8�Contractor�ign b�ck�of application,notarized � <br /> if over$25tIU,a No#ice of Gommencemant is required. {A!C upgrades auer$5000} <br /> '* Agenk(for the contraetor)o�Power of Attomey(for the owner)wouid be someone with nakarized letter from owner autharizing same <br /> OVER THE CoUNTEi4 PERiVIii't)�� (Frank of ApplicaHon Oniy} - <br /> Reraofs Sew;ers Service.Upgrades A!C' Fences(PIot/Survey/�ootage) . <br /> Dciveways-Not aver;Gounter f on pub�ic madways,:needs ROVtt <br />