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e��-,a�-�,��� Gity of Zephyrhitis Permit Application FaX-$�saao-oa2� <br /> . i BuElding department <br /> Date Recaived �� � phane Contact for Permittin <br /> Own�r's Name �i Owner Phone Number <br /> Owner's Address � V� Qwner Phone Numher �� <br /> Fee Simple Tltleholder Name �— � � Owner Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J �.��l �I � t� Ut Lt3T# �� <br /> BUSDIVISI4N �QQ `��,(����� PARGEL ID# '_' � " ' "�,���Cl �� <br /> � � (087AINED RROM PROPERTY TAX NOTtCE) <br /> �� WOR4C PROPQSED NEw CONSTR ADDlALT C� SIGN Q Q DEMOLISH <br /> I � INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION CJ BLOCK Q FRAME [_] STEEL C,] <br /> DESCRIPTiBN OF WORK � d�� i <br /> � <br /> ' SUILDlNG SIZE �("�i �v`1 � SQ FOQTAGE � -1 HEtGFi7 �,,,,,� <br /> �UILDING � �� `�,�'7 � VALUATt{�N OF TOTAL CONSTRUCTION { <br /> � t I <br /> I [�ELECTRICAL �------� AMP SERVICE � PROGRESS ENERGY Q W.Et.E.C, <br /> /_ ��j� <br /> QPLUM6ING $ �' ��1 „�,, `�� <br /> ; �- � `� ,�-r <br /> ' OMECHANICAL $ VALUATION dF MECHANICAL INSTALLATION � <br /> ,� ��� r : <br /> � QGAS [� ROOFING Q SPECIALTY � OTHER <br /> ! <br /> � =1NISHED FLOOR E�EVATIONS FLOOD ZONE AREA QYES NO <br /> ��� -- -- d � r <br /> 3ui�aea `c�OnnPa�nr Y �, ��,�U�'}'~1 <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address = ��l V��� ,a Lic�nse# ���L-�' `�'(�� <br /> �,.� <br /> °_LECTRICIAN CQMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# �i i � <br /> � �LUMBER �� COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# � `-1 <br /> �ECHANICAI. � COMPANY <br /> i1GNATURE ,,, , REGI$TERED Y I N FEE CURREI� Y/N <br /> Address �icenss# �— �� <br /> 1THER COMPANY <br /> �IGNATURE REGISTEi2ED Y J N FEE CURRE� Y/N <br /> Addpeas Lfcense# �` i � <br /> ;ESIDENTfAL Attach(2}Plot Plans;(2j sets of Building Plans;(1}set of Energy Forms;R-O-W Perrnit for new construction, <br /> Minimum ten(10)working days after submtttal date. Requireil onsite,Conshuction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciAties&1 dumpsfer,Site Worlc�Pemtlt far subdivislonsAarge pro]ects <br /> OMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permlt tor new cronatrucUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons#ruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaclUUes&1 dumpster.Sfte Wat1c Permit for a!!new proJects.Ail commercla!reqalrements mast meat camptiance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> """Pi20PERTY SURVEY required for ail NEW canstruction. <br /> irectlons: <br /> FHt aut application comptetety. <br /> Owrter&Contractor sign back of appiicatlon,notarized <br /> If over$2500,a Notice of Commencement Is raquired. {A/C upgrades over S754b) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMITTING (Front of Application Only� <br /> eroafs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RQW <br />