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813-�84-002Q City o#Zephyrhiils Permit Appiication �a�$��-7$°-°°2� <br /> Buitding Depattment <br /> Date Recelvad - P#ione Cantact:far Pe'mtkNn '- <br /> Owner"a Name Owner Phone Number <br /> Owoer's Address - Owner Phone�Number � ��� <br /> Fee Sfmpie Titleholder Name � - � Qwner Phone Namber � � <br /> :,� � <br /> Fee Simple Tftteho(der Adc#ress " <br /> JOB ADDRESS �� b �� � tOT# [_,� <br /> SUBDIVISION � �-�� ; PARCEL ID# � �� � ,ti�0 "���� • � ��C1 <br /> .. (OBTAINED FROM P.R4PERTY'fAX NOTICE) <br /> W4RK PROPtJSED „^NEW CONSTR' ADD/ALT Q S1GN" Q Q DEMOLISH <br /> e INST,AL� .8 REPAIR - <br /> PROPt�SED tlSE Q SFR [�� COMM � t}THEft <br /> 7YPE!?F CON8TRUCTION� : Q BLOCK ~ C] FRAME � STEEi. `Q <br /> DESCRIP170N-OF WORIC 1�'S�p� ��� ��� <br /> BUILDING Si2E � � SQ FQOTAGE��. HEIGH7..��_� � <br /> Q$UlE.D{NG �$ --� - r;._;,,-_ . <br /> ( a , VALUA'TION�F`TOTAL CONSTI2UC710N <br /> QELECTRICRI $ t ; � AMP SERVICE �Q' PRQGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBJNG $ — <br /> �,� <br /> QMEGHANICAI $ VALUATl4N OF MECHIWlCA�IN3TALIATION ' <br /> � ,..�� , <br /> C]GA$ , [� _ Rt?OFINC� Q SPECIALTY [� OTHER, - <br /> FINlSHED FLQQFi ELEVATIONS ��� F1.00Q ZONE AREA QYES i�i0 <br /> --- —_ "_'""'__.�_._ • <br /> BU{LDER COMPANY� ��v �� . � <br /> S!G ._____�_------ ��is�re�o Y 1 N �E cuRRE� �Y/N <br /> Address ' L`icense# I �--�� <br /> EIECi'RICIAN ..;� � GOMPANY : . <br /> SIGMATURE }' REGl57ERED Y I 1�I FEE CURRER Y I 1�1 <br /> Addre�s ,. License#,l � <br /> Pi.UMBER � k GOMPANY, <br /> SIGNATURE ' � .R��zs7�R�a Y/-N. FEE cu�fi Y!N <br /> Address � l.icense#,�� � <br /> MECHRNICAI. � ; GOMPANY; . � - <br /> SIGNATURE " . t�GEs7�a Y.t._N , -' �E cut�c� Y t N <br /> Address` .. . , � ,, ' . , License# � �� <br /> 07'!�{ER � . .,COMPAt!!Y ,. <br /> SIGNATURE ` •- - `REG�S7�' Y!"N' ,: ' FEE GURttER Y t N <br /> Address �� , `�:�.�-: ' ' - � �License# (� � <br /> RESlQENTIAt:�, ,i Attach(2);P[oi'P..ians;..{2};setssof;Bultillrig"Ptans;'(1)'set`af€ne'rgyr Forrris;R=t1-W=Per'mit'forneriv constructlan; <br /> Minimum;ten;(1,0)yworking tlays;after.subrrilttal�date:: Requireci ons[te;Construction-Plans;Stormwater�Piai�s w!Sfit Fence tnstaAed, <br /> Sanifary�Faciiitles:&��t;dumpster,Site;Work;P.ermit for'subdfVislons/larige pro)ects ;f��-• �' ' � ' <br /> C�MMERCiAt. Attach(3}�i�inplete`sefs'of Builiiirig Pians�ptu`s a life'Safety Page;(1j set af Energy;Fomts.�Ft-O W Pertnit far new aanstruction. <br /> Mintmum ten{1Q)working days at#sr submittal dafe. Ftequiced artsite,ConstrucUon Plans,Stormwafer Pians wt Slit Fence Mstailed, <br /> Sanitary Factlides 8 1 dumpster rtStte Work Permit for all new projects:-All commercfal requlrements must meet compliance <br /> SlGN PERNflt Attach(2)`"sets af Engirieared:Plans.:�,:>��=T:.-�.. � ^ ° . ` i, <br /> "'••PRUPERTY SURVEY required fur a!(NEW.consfiacUon.. <br /> DirectFans: � � ° - . , <br /> F411 out applicatlon compietely. ' ` ';- <br /> Owmer 8�Confractor slgn back of appllcatlon,notarized;�,`�, :; � <br /> if aver 52500,a Notice,of Commencemenf•le requlred.� (l4lC upgrades aver;7500) <br /> '• J�qent(for the'contrac#o�}pr'Powei of i4ttomey(fo�the owne�)wouid be someone v�ith notarized lette�fram awner autho�izing same <br /> C3VER TNE COUNTER�,PERMtT11NG•.rv�- •-(F.ront of:Appllcatton O��y)• <br /> Rsroofs!f sh#ngies Sewers Senrica Upgrades AtG Fences{PlotlSurveylFootage} <br /> �riveways-Not over Counter if on publlc,roadweys..needs RQ1N � <br /> :�-, , � <br />