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<br />� e�s-�saao�o City of Z�phyrhitls Permit Appfication FaX a�sasaao2�
<br /> Buitding Departrnent
<br />; Date Racefvad r P,hane Cootact for Rermtttln _ ' i
<br /> I� Owner's Name � � L L�56 Ctwner Phone Humber O/,�— ��`�— / '
<br />� �
<br /> 14 Owner's Address J G7 l�p �O t� o�. ��/LL5 OwrnerPhoae Number �.
<br />� �Fee Simple Titlehalder Name �� � Owner Phone Number �
<br /> �;� -'�
<br /> Fee 8lmple Tltleholder Address '�� -
<br /> JOBADDRESS ��/ O � �-'Z'G. �— ! � 3���� �or#
<br /> _ �
<br /> sueoivisioN � � PARCEI.�ID# ' // -�-�/-l�G��D-f,3�C`oG4 - D/:�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WQRK PROPOSED NEw CONs7it ADD/ACT [�� S1GN [� - [� DEMOL,ISH
<br /> e INSTALL REPAIR
<br /> RROPOSED USE - Q SFR '[� COMM � OTHER`
<br /> TYPE OF CQNSTRUCTION L- � BLOCK " Q FRAME �� STEEI [�
<br /> y�t
<br /> DESCRIPTION OF WORK /T/ C � /1J G','�Le e� .�.071� O/�2 r�'`"~' . � �,� /pp(�
<br /> BUILDING SIZE �� � SQ FOOTAGE C�� HEIGHT C_, ,��
<br />' 08UtLDING $ � -VALUATIO�`N`OF TOTAL CONSTRUCTION
<br /> QELECTRiCA� � � AMP SERViCE ' Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING � � . '
<br /> � QMEGNANICAL $ VAl.UATION OF MECNANICRL INSTA�tAT1QN �
<br /> ����
<br /> i OGAS Q ROQFlNG Q SRECIAi.TY [�,� OTHEF2. ;
<br /> FINI$HED F1.00R ELEVA710NS r�� FLOOD ZONE AREA �YES. _ NO I
<br /> f
<br /> L �
<br /> BUt1.DER COMPANY
<br /> SIGNATURE REGISTERED Y/ N ' FEE CURREA Y./N
<br /> Address Cicerisa# �� �
<br /> ELECTRICIAt+! COMPANY'
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addrsss � , �.License#; � - �
<br /> P�UMBER .. . CQMPAldY, �
<br /> SIGNATURE REGI3TERED Y/ N� � FEE.CURRE� Y/N:
<br /> Addrass License# ,� �
<br /> M�ctla�tc�: .- ` � ,.COM�a�tv �f}1�i2`S .�^d,oAtrf� 5� �� -��
<br /> SIGNATURE G��G71'LQ �� �J b $EbI,STERED Yr/ N ,FEE CURREI� Y/N. ,
<br /> Address ' � j E'yv _ License# ���1��.�9�'�"� � -
<br /> O7NER �COMPANIi ,� ,
<br /> SIGNATURE - � REGI$TERED `Y/ N.. � FEE CURRE� ;�. Y�/,N�:.
<br /> ,4ddress _ , .' . . , . . , .. , . ` ` License#���� �
<br /> . ,-�;=r: .,:_�. ,�,,,_, -
<br /> RESIDENi'IAL. Attach(2}.P,tot1P,lan§;.(2)sets:af�Bui'tdiiig`Plans;'(1)setitsf�Energji,Fomis;�R-O=W;Pemiit:fornevir„construction, .
<br /> MinimumE:ten:(�1Q);woriting;days after,;sulinnilftal'date:`-Requfred,onsite;C'onstrticlion�Plans;�Storrnwafe�Plans w/Silt Fence installed,
<br /> � Senitary�Facil[des,��i7�,dumpster�Site.Wor,k�P.er,mtt.for_stibdivislonsllarge"prnJects= .�"`<;^�<:: '� ' � "
<br /> COMMERCIAL Attach{3)'camptete se#s'of Bu3lding�P1"a"ns plus a l:ife Safe#y Page;(1)set of Energy Parms.R O-W Parmit for new constructian.
<br /> i MinEmum ten(10)working days'after submlttal date. Requfred qnsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
<br /> � Sanitary Facilides&1 dumpster.Site Work Pertnit for all new�proJeots.All commercial requirements must meet compltance
<br /> S1GN PERMlT AttacFi{2}'sets of`Eiigir,ieer.er3t...P-1ans:i.,-:.�;rH • . - . .
<br /> "*"PROPERTY BURVEY reguired for.all IVEW_constructlon..._
<br /> Dliectlons: �<"x-~ : �
<br /> Fill out appflcatlan completely.
<br /> Owner&Cantractor sign bacic-of appiicatton,notarfzetf
<br /> ff aver a?500,a Notice cf Commencament ls required. (NC upgrades ovar$758Q) -
<br /> �x,rar;::�;
<br /> " Agent(for the contractor)`or:Powe�of Attoiriey(fb��the ciwner).would be someone with notarized letter from owner authorizing same
<br /> QVER THE Ct�UNTER„PERM11"ffNG� .-.-• (Fron#:af Apptica#iom'Only) � � - �
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSur^vey/Footage)
<br /> Drivewaya-Not over Counter if on�pubiia rosdvirays.:neeiis ROW,� `
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