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a„-,��,��U Gity of Zephyrhilfs Permit Applicatian Fax-s�aaso-oo2� <br /> i Buitding bepartment <br /> Date Recatved ,/ ""� �'�3 �3-3 — ��z� <br /> �y— I(� —/S Phane Contact for Permitting <br /> Owner's Name L'�'g�`/ �a Yf�L_ Owner Phone Number �r_ <br /> Owner's Address �W� � �/A' �. Owner Pho�e Number �_ <br /> Fea Simpte Titleholder Name �� �� Oa►ner Phone Number <br /> I Fee Simple Tittehatder Address <br /> � JOB AQDRESS �/G IJiST�`�C�A � . �ar# �D <br /> susoiwsioN �i/h�s �r•n ��--�5� PAF2CEL ID# 1�'�b - �/ -f•�1GD — L�OOdD �D�'d�J <br /> (OBTAINED FROM PROPERTY TAX NdTICE► <br /> WQRK PROPOSED e NEW Ct�NSTR� ADDlALT � SiGN Q Q DEMOt�ISH <br /> iNSTALL REPAIR <br /> , FROPOSED USE [� SFR Q COMM �� OTHER <br /> i i'YPE 8F C01V5TRUCTiON [� BLOCK [� FRAME [�� STEEI. Q <br /> DESCRIPTIONQFWORK �w✓ D'�� .S�l.,n'!� 1°�' ,,'�si� l� �vs,�ih G"�/�F/�lrrrvnsre.,u� <br /> BU1Ld1NG SIZE � � SQ FdOTAGE �r+'�a HEIGNT ��_,� � r ryr f�� <br /> C]BUti.D4NG $ � � � VALUATION OF TOTAL CONSTRUCTION <br /> QELEGTRICAl. ($ — � AMP SERVIGE ,[� PROGRESS ENERGY [� W.R.E.C. <br /> �_— <br /> OPLUMBING �� <br /> QMECHANlCAL $ VALUATlQN QF MECHANICAI.INSTALLATION <br /> [�GAS RdOFiNG L„] SPECIALTY � QTHER <br /> 'INiSHED FLOOR E�EVATtO S �� � FLOOD ZONE AREA �YES NO <br /> 3U1l.DER � COMPANY <br /> �IGNATURE REGiSTERED Y J N FEE CURRE� Y J N <br /> Address License# � � �, <br /> i <br /> e1.ECTRiCiAN COMPANY � <br /> 'siGNATURE REGISTERED Y J N FEE CURRE� Y I N <br /> Address License# �— ' � <br /> �LUMBER � � COMPANY <br /> �lGNATURE REGiSTERED Y I N FEE CURRE� Y I N <br /> Address License# � �� <br /> �ECHANICAL � CQMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRER Y I id <br /> Address License# � � � <br /> iTHER �,"�' COMPANY ��P`"e �ro'�.� �i�' s �a' L <br /> �IGNATURE '� � REGISTERED Y/ IY FEE CURRE� Y/N <br /> Address t�7� !�l�2C l�2• �� t� ��,;ti 5 �3).s"/i License# �G � �`�g � ?G� �� <br /> :ESiDENTtAt Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af Energy'Forms;R-O-W PetmEt for new construction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SAt Fence instaited, <br /> Sanitary FaoiltUes&1 dumpster,Site Work Permit for subdivi$IansAarge proJe�ts <br /> 'I OMMERCIAL Attach(3a complete sets of Building Plans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit for new canstrucNon. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Constnictlon Pfans,StoRnwater PEans wt Siit Fence instafled, <br /> Sanitary Facil(ttes 8 1 dumpster.Site Work Perinft for aA new proJects.Alf corrtmercfal requtrements must meet compiiance <br /> IGN PERMIT Attach(2)sets of Eng(nee�ed Plans. <br /> •"'•PROPERTY SURVEY requlred for aA NEW consiruction. <br /> irections: <br /> FIII out application completely. <br /> Owner&Contractor sign baok af applicatian,natarized <br /> If aver�2500,a Notice of Gommencsment ts requ9red. (A/C upgradas over S75d0} <br /> Agent(for the contractor)ar Power of Attomey(for the owner}would be someone with notarized(etter from owne�authorizing same <br /> YER THE COUNTER PERMlTTING {Front of Appficatlan Oniy) <br /> eroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurveylFootage} <br /> Drlveways-Rtot over Counter if an public roadways..needs ROW <br />