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�i �. s��-7sa-oa2o �,� ��� _ City of Zephyrnil�s Pecmit Application ��s��-7eaoo2�
<br /> I ='"`� Building Department
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<br /> Date Recelvec� -� .� � phone Contaet�ar Permi#tln t t�� Z�-t "�JK� , ����
<br /> �wner's Name F t-��-t�A ({C�Spj�aL.- ��6�� j LS dwner Phon ambe "��3'�024{ ,
<br /> Owner's Addre s
<br /> ("Lt� �y G1t.�u�� ��. �►�2��3 6�Ow�Phone Number �T� �
<br /> Fes Sfmpl�Tltf holder Name 5 a M C �C� Otn/1�Gt`* Owrter Phbne Ncember
<br /> Fee Slmpfs Titi hoider Address �'J'�'M� � ''���t�- '
<br /> JOB ACIDRESS l C�S� l.'"CA�G- ��^-V� ZH�LLS L 5�3��t � L07# C��
<br /> SUBDIVISION �� � PARCEl.ID#
<br /> , (OBTAINED FROM PROPERTY TAX NOTIGE)
<br /> WORK PROP{) ED , � � NEW CONSTR� ABDiALT � S1GN Q � DEMOLISH •
<br /> INSTALL REPAIR
<br /> � PROP08ED U E Q SFR � CO{Ul1Ui CR� OTHEft t G
<br /> ' TYPE OF GON TRtJGTIQN Q B�OClC ' Q FRAME � BTEEl Q 7"! C
<br /> DE8CRIPTION F WORK � � �.��ti�a � �aN �- 0 2��+� �.�AjC����(7�
<br /> BUIl.D1NG S12 ��S t��G`i � Stt FOOTAGE�� HEIGHT [��
<br /> ���« ��'�' �' L.�, tI()Q! 6 C�f� ,}�ly d1/�Lip/,�71�FATQTAL CONS'i'RUCTION "i' �Q l Q13� � OG�O
<br /> t tp� t{!�
<br /> �ElE TRIGAL $ �` ����vQ� ��A�M,�Z R��t(,CE�t�'� Q PROGRESS ENERGY Q W.R.E.C. (�
<br /> [�PLU BlIVG � Od Q00 � ���� , '��t�, ii��'�y` ���v1
<br /> � , d C� � �,�- �
<br /> �MEC ANICAL $ � VAL�! ;IlON OF MEChlANIGAI..IIVSTRI_LATl4N ! [ 't1 � �
<br /> �-�Q,�d�, ���,�� R -�1 ���-
<br /> QGAS [� ROOFING Q SP�CIALTY � OTHER � ���r
<br /> FWISHED FLO R ELEVATIONS FLOQD ZQNE AREA QYES ��10 ��`" /�
<br /> � ��
<br /> �u«oE� coM�a�v '��SF(ELD ��c��l� G.LC � �l�G
<br /> SIGNA7URE ���.� REGISTERED / N FEE CURREh . �
<br /> N �
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<br /> Addtess �{�� �A.� 1��� ��.1f tl. (J{�j�V��. 1' k�FL ��Tf� ucense# ,CC�C,�"'_�t--O g(9(�"� _ ���'"�cj'
<br /> / ° �s�,.• ,M1
<br /> ELECTRICIAN COMPAFtY �,��`
<br /> SIGNATURE �' REGISTERED Y i A1 FEE CllRRER Y 1 R! t�" ,•
<br /> Address License# � �
<br /> �PLUMBER � COMR,�►NY� - �+` s�-t-.smb0.Ck l-�-t—
<br /> SIGNATURE REGISTERED Y/ N FEE GURRER Y/N
<br /> Addr�ss �cense# �c=C tti"d.$S i a,,, ._._.�
<br /> MECHANICAL � ._ � �OMPAMY cf'-I.,1�rv�bach lf,_L,
<br /> SIGNATURE ` �__ REOISTEREO Y/. N FEE GURREP Y/Al
<br /> Acldress License# ��,1�✓i'1r�a$ �
<br /> '(( ;n
<br /> QTHER S�G ? ' � COMPANY
<br /> SIGNATU � ��� REGISTEREO Y/ N FEE CURRE� Y./N
<br /> LicenSe#
<br /> RESIDENTIAL Attach(2):P.lot Rlans;.(2)§ets.ofBuilding'Plans;(1)sat of Energy�Foirn's;R O W_Permitfor nei�u_consWo#lon,`'� - — - - -- " "�
<br /> - - - M9nimum:Qen..(.S.Oj:wvrking itays:aftec:subinitiat date. Requ�red onsite,Construcdon Plans,Startnwater Plans w/Silt Fence instalied,
<br /> Sanitary Facil{ties.&:�1,;dumpster;,31te�=Woric;�Permit for sutidivislarisflarge ptojects . ,_
<br /> COMMERCIAL Attach(3)complete sets of Bullrltng Plans plus a l.lfe Safety Page;(1)set o�Energy Parssss.f2•O-W Permit for new cansUucUon,
<br /> Minimum ten(10)working days after submlttal date. Requ(red onsite,ConsWcBon Plans,$tormwater Plans w/Silt Fence Installed,
<br /> , Sanitary FacitiNes&��dumpster:Site Wark Permtt foF ali'nevu projects.All cammerciat requlrements must meet aomptianc�
<br /> SIGN PERMIT Attach(2);sets of Engtneered Rlans.. : .
<br /> ""P'FtOPEFtTI'SURVEY reguired fo�all.NEW:construcUon.
<br /> blreatlan�: �
<br /> Ftli out app lcadon completely.
<br /> Owner 8 nfracMr slgn baak of apptica#lon,notarized �
<br /> If over�00,a Noric�of Gammensemen4la requfred. {AtC upgrades aver�7500}
<br /> " �gent(far a cAntra�tor)or Powec of Attattaey(for the owner)would be sameans3 with notarized lettet from awner authotizing same
<br /> OVERTHE�CQ NTER.PERMITl'ING�•,.•�,. {FrontotAppltcation Onip} " ' -
<br /> Reroofs If shing es Sewers , �Service�Upgrades A/C Fences(PIaUSurvey/Footage)
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<br /> Drfvewa -NoYover�Countecff on publfc:roadways..needs R{�W . .-.. .. . -._. ... .... ............ ... {
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