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at�-7so-oozo Ci#y of Zephyrhiiis Permit Appiicatian Fax 823-7so-oo2�
<br /> Bnflding Depariment -
<br /> Date Received � Q.P �� p�an$.�ontact far Permtttin �
<br /> -�Owner's Name Owner Phone Num er �"`r ���,�6??� �
<br /> r/ f S�/z
<br /> --Owner's Address �b �.� /1 - Clwner Phone Number
<br /> Fee Simpie Titieholder Nama Uwner Rhone Number �— `��
<br /> Fee Simpie Tittehaider Address
<br /> 1 B ADDR S �4 � s � .L1h 3 S�Z' LOT# �
<br /> �
<br /> SUBDIVISION {�._...�. PARCEL ID#
<br /> (p8TA1NED FROM PROPERTY TAX NOTIGE) �
<br /> WdRK Pi2t�POSEp NEW CONSTR ADD/ALT �,� S1GN Q Q DEMOLISH
<br /> INSTA�L 8 REPAIR
<br /> PRt}POSED USE SFR Q COMM � OTHER
<br /> TIPE OF CONSTRUCTIOM B�OCK " � FFiAME Q STEEI Q
<br /> DE$CRIPTION OF WORK ' r Z -
<br /> BU�LDiNG S1Z6 � � SQ FOQTAGE[� MEIGHT ���
<br /> �������G;%' � VALUATION OF TOTAL CONSTRUCTION
<br /> � � � Z�
<br /> QElECTRtCA� �;`� AMP SERViCE [� PROGRESS ENERGY [� W.R.E.C.
<br /> QPLUMBING �$ �
<br /> ��„._...,
<br /> QMECHANICAL $ VAl.UATIQIV QF MECHAhItCAl.INSTALCATIdN �� t,�s�
<br /> �.�� ��%1.,a
<br /> ' � �t�
<br /> QGAS Q ROOFlNG Q SPECIALTY Q OTHER
<br /> FINlSHEQ PLOQR ELEVATIQNB FLOOD ZOttiIE AREA QYES NO
<br /> „_„,_„_,. y
<br /> BUiF.DER �-�—� j7 j ''�D✓' � CCIMPANY ��'�Lt/Yt� '
<br /> 91CNATURE (�J4 REGISTEREO Y 1 FEE CURRER Y J N
<br /> Address License# � �
<br /> ELECTRtC1AN COMPANY
<br /> SIGNATURE " �GlSTE�EO Y i N ��E CURREn Y i 1+t
<br /> Address License# � i� �
<br /> pLUMBER COMP.ANY
<br /> SlGNA7URE REG(STERER Y� N FEE CURRER Y 1(�E
<br /> Address License# � �
<br /> MEGHANICAL CtJMPANY
<br /> 81GNATURE REC�tS7EREQ Y./ N F�Gu�fi Y/R!
<br /> Address Lfcense# �� �
<br /> C?THER COMPANY
<br /> SIGNATURE REGISTBREp Y! IV �EE CURREA Y f N
<br /> Address ' Llcense# �i I
<br /> RESlDENTlAL - Atbch(2}Flot Plans;(2)sets.ofBuliding`Plans;{1}set of Enei�gy Forms;R-O-W Permit for new construction,
<br /> Minimum:ten(1..p)wqrkfng days after�su6mittal date. Requlred ons[te,Construotion Plans;Stortnwater Plans w/Sllt Pence installed,
<br /> Sanitary Facilittes&1y,dumpster,Site Work�Rermit for subdtvi"slonsAarge'proJeats
<br /> COMMERCIRL Attach{3}aompiete sets of Suitdiri'g'Plans pfus a life Safefy Page;{1)set of Energy Farms.R-O-W Permit#or naw construction.
<br /> Minimum ten{1Q)working days after su6mittal date. Requtred onsIte,ConsUuctlon Plans,Stormwater Plans w!Silt Fence Installed,
<br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for ail'new proJeats,All commercial requlrements must meet campliance
<br /> StGN PERMIT Attach{2)sets of Engineered Rlans: - "- ,
<br /> "'••PROPERTY SURVEY requ3red far all NEW construGtion.
<br /> Dlrectians: ' � ' -
<br /> Ffll out application contpletely. .
<br /> Owner&Contractor sign back of appiicatlon,nota�ized ,
<br /> if ovar�2500,a Nofice of Commencement is requlred. (A!C upgrades over S75Q0) ' � �
<br /> , ,_.. .«,..�... _
<br /> .. • r�..� - -�-.r, _ ... , ..- _.-. ,. ....�,_.a..>.:_r....:...:.....: .
<br /> Agent(for the contractor)'or Pornrer of.Attomey�(for'tha 8wner}wouid;be,someone with notarized letter from owner authoriitng same , '
<br /> _,,;�,-���..� •.. ,t ;, _ . , _
<br /> t3VER THE COUN'tER PERMITLING ;., (Front�of�Applicatian Only}`�:` :'!„ ;' ;. , � _ � � . _ ' , - �
<br /> Reroofs lE shingies Sewers Service;Upg`rades��RtG- ,`Fences,(RlottSurveylFoatage) ' ,� , � , �� , .
<br /> �. ,. „ .. •� : ;�. �„ � ,
<br /> ��.:>.,:
<br /> Drtveways-Not over Goun#er if on publig�roadways::noeds�ROGV�� ' � ' '� � "� �"� ��"' ' ���`
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