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� sT3-�aaoo2o City af Zephyrhiils Permit AppCication� F�-s�a-7sa-oo2� <br /> . Building Department <br /> Date Receive '' .�-�'""� Phone Contact far Permitting • � – f� <br /> Owner's Nam$ � 4�'k�C.��G'�, �`I�� ��1 �� Owner Phone Number p��^ ( ! ` ��� <br /> Owner's Addr ss �Ca� l�E.. lC� I-�"� ' Owner Phone Number �— � <br /> )� -T),�� � <br /> Fee 5imple Ti tehotder i3ame (.�,�K!(..�/�'C. �JU,��IGY�C.�i 1 Owner Phone Number �— <br /> Fee Simpte Ti leholder Address i9 � �C � }� �C7 �'� • <br /> JOB ADDRES t�"{ LG:C. J�' � Lr� Y1 r LOT# �"'� <br /> suBa�v�s�oH 5�1�1�'�`C�Ct�.���,�� PARCEl.11}# �3 �2�-Z.l—�7120 -r�c3oo -D ?,�. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP, SED e NEW CONSTR� ADDJAl.T [,� SIGN Q Q DEMO�lSH <br /> 1NSTALL REPAIR <br /> PROP.OSED SE Q SFR Q CQMM � QTtiER <br /> TYPE OF CO STRUCTION [� BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTIOht OF WORK ��� �'J�G�B lil,� � �� 1r� ��it�-�'-2 <br /> BUI�.DIR1G St(E ��J�t� � SQ FOOTAGEF �v� HEIGNT �� � <br /> � <br /> OB�� ���C" � �a�"'��� VALUATt4h!QF TOTA�GOtVSTRUCTlON <br /> �EL CTRICAL � � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPL MBING � � ���� <br /> ME HANIGAL $ ^ VALUATION OF MECNANICAL INSTALLATiON � <br /> 0 � <br /> QGA Q RQQFING [� SPECIALTY � QTHEE2 <br /> FINISHED FL' OR ELEVATIQNS �� FLOOD ZQNE AREA �]YES NO � ����J r1 C" <br /> � <br /> „�...,, �� <br /> �u��n�� �- �� t `��,0� co���vav �� ��v �.���5�1't.�� �`�%� <br /> SIGNATURE � ��/"`r" REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# ��i����'f��'� <br /> ELECTRICIAtJ COMPANY <br /> � SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# � � �� <br /> PLUMBER. CQMPANY <br /> SIGNATURE �REGI57ERED Y'/ N ' FEE CGRRE� ' Y/N <br /> Address ' ' - � � ' license# � � <br /> MECHANIC • -� ` ` -. • . - C4tVIPANY <br /> SIGNATURE � ' " - ' REGISTEReo , Y/ N FEE CURRE� Y/N <br /> Addtess � � ' -L•icense.#. �r � <br /> OTHER• � COMPANY <br /> SiGNATURE 'i '• REGISTERED Y/.N.. FEE CURREk , Y/N <br /> Address ' - � License# �— �~�-- � - <br /> RESlDEIdTf F ;��, ;4ttach{2).P1ot Plans;(2).sefs of Buiiding=Ptans,{1}'set af'Energy,Forms;R-0-W.P.emiit.far new.constructian, <br /> , - Minimum ten'(>10).working'.8ays after submittal:tla#e. 'Requiretl onsite,Con`stniction Pians,Stormwater Plans w/Silt Fence installed, <br /> � � Sanita,ry.Facilities;&;;1�_dumpster Site.Work Permit'for.sutidivisions/large projects� � - <br /> �COIVlM�RCI Attacti�{2}'corriptete'set's of Suiliting Plans plus,a i,ife Safety Page;{1}set of Energy Fonms.R-O-W Permit for new consfruction. <br /> - � Minimum ten(10)working days after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.8ite Work Permit fat a!I new proJects,All commercia!requirements must meet compiiance <br /> , `.='51GN PEEiNtI Attacl�{2)sets.of:EngEneered Plans. <br /> - "'•PROPERTY SURVEY required for all.NEW..constructian. , <br /> ,- Rlrect{ons:. . . _ � <br /> - Fill.6ut a plication completely. <br /> Owner 8�Gontractor sign.back of application,notarized <br /> _ Ff over$ 800,a Notice of Corrfinenaement is requlred. (A/C upgrades over$7500j <br /> "' Agent(fbir'the cont�actor)or Power of Attomey(for tFie owner)wauld be someone with notarized letter from owner authorizing same <br /> :OVER TNE COtINTER,PERMl1T1NG`;°"':""��opy af'cantract•required} <br /> Reroofs if shir gles Sewers ,Service-Upgrades A/C �' : Fences(PIoUSurvey/Footage) <br /> ; , , ' , <br /> Drivewa -Not over Coun#er if on public'roadways..needs ROW <br />