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B��7sa-aazo Cit�r of�Zephyrtiills Permit Application �'�-����2i <br /> Building Oepartrrert <br /> Date Received Phone CoMad tor Permitti <br /> , Owners Name 7 Oxmer Phone Number <br /> Owners Address I� S � ��� O�Phone Number <br /> Or-Q�sm��8r�u�ld�3 ✓4�� OwnerPhoneNumbe► � <br /> Fee Simple TiUetwlder Address <br /> JOBADDRESS 1I I � J LOTtf I � � <br /> SUBONISION PARCELIDN � ������l/-oo�o-o�9ao. -���� <br /> �oerawEo FaoM rrtoaErrrv rNrwonc�- <br /> WORK PROPOSED e NEW COttSTR 8 ADD/ALT Q SIGN Q � DEMOL{SH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> OESCRIPTION OF WORK � P.WLA S �R <br /> BUILDING SIZfi ��0 V $ SQ FOOTiiGE� 'HEIGHT-� <br /> �BUILDING 54 00.�+(� VALUATIONOFTOTALCONSTRUCTION <br /> i � <br /> QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING S <br /> I�I QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> �SIGNAT{1RE � REGISfEREO �Y/�N 'FEE RREN ' ''Y f N <br /> Address � )ld 3 Y"^l V Licerue� <br /> ELECTRICIAN COMPANY <br /> SIONATURE REGlsi�eo Y/ N �ECURRa Y!N <br />' Address Liceree S <br /> PL'.UMBER COMP/WY <br /> SICiNA7URE R[�isra� Y/ N �cur�+ Y!N <br /> Address LsxRse i <br /> MECHANICAL COMPANY <br /> SIGNA7URE REGISTFI2ED Y/N rgcuruten Y/N <br /> Address Liceme Y <br /> 07HER COMPANY <br /> SIGNATURE aec�sr�o Y! N FEECURREN Y/N <br /> Address License i � <br /> IIt11111 � 11t111111 � 1111 / 1111111111111111111111111111111111111111111 I <br /> RESIDENTIAL Aftach(2)Pbt Pians;(2)sets o/Building Plans;(1)sat af Enargy Fortrts;R4W Pemdt Tor newconstruction, <br /> Minimum ten(1 D)wnrking days after submittal date. Raquired onsite,Construdion Plars,Stormwater Pians W Sift Fence Instaded, <br /> Senilary Fadiities&1 dumpster,S'de Work Pertn3 tor wbdivisions/large projeels <br /> COMMERCIAL Attaeh(2)eomplete sets of Building Plaru plus a Lite Safaty Page;(7)set of Energy Fomrs.R-aW PermR for rreweonsW dion. <br /> Minimum ten(1�worldng days aRar aubrtdttal date. Requlred ortsite,ConsleueUon Pfares,Stormxmter Plaru w/Sitt Fereoe hrsmQed, <br /> Sanitary Facilities E 1 dumpster.Site Work Permi for a0 new pmjeds.All co�mneraal requireme�must meet eompCrarce <br /> SiGN PERMR Atfach(�sets oi Erpineered Plans. <br /> ""PROPERN SURVEY reqaired for oll NEW corr.�rudion. <br /> Diredions: <br /> FII out appGcation completey_ <br /> Owner 8 CoMrador sign badc of app6cation,noteraed <br /> If over 52600,a Notice o(Corranenermmt is requircd. (A/C upgrsdes over i7500) <br /> " Agent((or ftro eontradn�or Poww of Attnmay(for[ho owrre�would ba somoono with rrotr¢od lattar hom ovmor eu[hormng eamo <br /> OVER THE COUN7ER PERMITTiNO (eopy of wMraG required) <br /> Reroofs�shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br />' Drivevrays-Not over Counter N on pub6c roadways..needs R01N � <br />