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ais-�eo-oo2o Cit of Ze hyrhills Permit Application F�-al3aao-oo21 Y .P ' ' � ' Building Department _ Date Received� �L� ;�j/G(�; Phone Contact for Permitting �� y�-- �� -rr-�rrr-e� , Owner's Nam II � � Q ey c� � Owner Phone Number ��Z• �- �� 0 i , Owner's Address I a6D��T��'e ce r''"' �/� �c./Y•/✓��3� 3�Owner Phone Number � Fee Simple Ti,leholder Name C.r� � Owner Phone Number 1 • Fee Simple Titleholder Address JOBADDRESS �(��(� ��'r�l tht�f �j�'1.�G �.�' LOT# �I I SUBDIVISION �I�L 1�'e�'� �� PARCEL ID# �� o��v s�� G�� O6�a� �� (� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED �NSTALLSTR e REPAIR � SIGN � � DEMOUSH II L� PROPOSED USE �� SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 DESCRIPTION OF WORK n�� 5�''�C��rn-� 1. ��s��/LC� � �� b�� J��'� BUILDING SIZE SO FOOTAGE ��D� '- p�}�I HEIGHT � TT�1'1TIiI1T1"ITI"1TI�'1T 1�1TrTT�Tr OBUILDING $ !��' � d � VALUATION OF TOTAL CONSTRUCTION ,,�� �EL�CTRICAL $ ��Y e o AMP SERVICE �S� ��ROGRESS ENERGY � W.R.E.0 l �PLUMBING $ Q��, a•c t�, j 7 1 � 7 l OME�HANICAL $ / �� , d� VALUATION OF MECHANICAL INSTALLATION �� tD t � OGAI�S Qc � ROOFING Q SP LT OTHER �� .� FINISHED FLOOR ELEVATIONS ^� �d LOOD ZONE AR " �YES NO .^ i D� G��Zf -i--F-1-�1-1-i.�1-1-1--i-�1--i-�1--1-1-4-1-i-1--1--1-1-1-FI-�-��1--1-1--1--i-1--�1-1--1--1-1--{�-1--1-1-1--f-F-• • • • • •��'• • • • 1-1-Fr� BUILDER � �� COMPANY �� - �1��''`► �f'�-C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N- Address ��o� �'C��Co/>'� ,/7 r' I M � (��'.0��p (c, � License# ELECTRICIA �'f� COMPANY `� MO�� '�C-�r i G- SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y%N Address �� " 5�L i j��r ��G�-. � License tl �'c i 3�� a� PLUMBER J�� COMPANY �/"/1 Cl'S'7"d lL �-r, Q`'dS �IGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N Address �y� G� �Q� � e �v�^.� L6�. License# G Fc I ti2��- MECHANICAL �� COMPANY �I~D r�Sc� � ��- [`��(`�� s'��'n f SIGNATURE REGISTERED Y/ N FEE CURRE� Y L N i Address 5�`JD� c�,s'1jc�f'�, �C,r•.�-,s�TL�+�e License# � �.� � OTHER ��_ COMPANY 1,' 1 ��Gr'� ��- 1 n SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address [�� f O �1' ,S f" ��.�� ' License# � Q..��. � � � 111111�1111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects -- COMMERCI�L Attach (2)complete sets of Building,Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, i Sanitary Facilities&1 dumpster.Site Work Permit for all riew projects.All commercial requirements must meet compliance SIGN PERMII Attach(2)sets of Englneered Plans. � ****PROPERTY SURVEY required for all NEW construction. -��:-:--:�-4'�i..�f..1..4.1--1-�1-�1-f.-1-.i-:--:�-r'�:..C-I..f-�1-.t--1-1-.4�1-4-1-1.-f-�1--��1--1--i-1--1-.i-1..1..4.• • • • •� • • • • 1--1.-1-1-i.. Directions: �. Fill out a�plication completely. ` , � , Owner 8�Contractor sign back of applic2tion,notarized � , �' y � • � • ` , �� , If over$II 500,a Notice of Commencement is required. (q/C upgrades ove�$7500) ** Ageht(fc}r the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing�same OVER THE CIOUNTER PERMITTING (copy of contract required) Reroofs if shiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) • Drivewa�ys-Not over Counter if on public roadways::needs-ROW ` � ' j , „ -, , _- , I -,. - . - / I � �