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sia-�aaoozo City of Zephyr ills Permit Application � Fax-el3-�aaooz� <br /> Build ng bepaNment <br /> 'Date Reeeived <br /> Phone Contaet or PermltUng _ 3��� <br /> Owner's Mame � � 'c Owner Phone Mumber <br /> Ouvners Address Obmer Phone Mum6er <br /> Fee Stmple TlUeholder[dame Oumer phone Alumbar <br /> Fee Simpfe TltleholderAddress <br /> JOBADDRESS LO7# �� <br /> SUBDfHISIORI PARC L IDq <br /> (OBTAINED FAOAE pROPERTY TAl(NDTIC� <br /> iNORK PROPOSED NEW coNsrR ADD/A T [�] SIGN [_] Q DEMOLISH <br /> 1NSTALL B REPAI <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE oF COfdSTRUCTIOM Q BLOCK Q FRAM Q STEEL Q <br /> OESCRIPTIOM OF MIORK � S D <br /> Bl➢ILDIMG SIZE � SQ FOOTAGE HEIGHT � <br /> QBUILDING $ <br /> •�� p VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERV E � PROGRESS ENERGY Q W.R.E.0 � <br /> OPLUM9ING $ ���� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INS / <br /> TALLATION � �,�2�� � <br /> QGAS Q ROOFING Q SPECI LTY Q OTHER �1�/'�O O <br /> FINISHED ROOR ELEVATIONS FLQO ZONE AREA QYES NO <br /> I�� ��� <br />, BUILDER C MPAMY ' oy� A��J��i— <br /> SIGMATURE Re ISTERED Y! N FeEcuattEn <br /> � Y/N <br /> Address <br />, License# <br /> r, 6� <br /> ELEC4RICUlN lY�C MPAMY s% ,r d c�x/��� <br /> SIGtdATURE Il RE IsrsRED Y/ N �cuwten Y/N <br /> Address Ucense# <br /> PLUAflBER ��dC hflPANY J��J �Zl�,�/Br� <br /> SIGWATURE RE tsT�rtFo Y/N �cuaaer. Y/N <br /> Address � License# <br /> MECHANICAL _ C MPANY [�l� pl��J� d"' <br /> SlGId14�URE R ISTERED Y/ N �cutcq�n Y I N <br /> Address Llcense# <br /> I OTHER C AAPAtdY <br /> SIGMATURE .a cisreaeo Y/N �e cuarien Y!N <br /> Address License# <br /> RESIDEkTIAL Attach(2)Plot Plans;(2)sets oF Bullding Plans;(1)se of Energy Forms;R-O-W Permit for new cansWcUon, <br />, Mlnlmum tea(10)woticing days after submlttal date. equlred onstte,CanshucUon Plans,Startnwater Plans w/Sflt Fenca Installed, <br /> Sanitary Faclllties 8 1 dumpster;Site Work Petmlt tor ubdivf5ionsAarge projects <br /> ICORqAAERCIAL A@ach(3)complate sels of Bullding Plans plus a Llfe afety Page;(1)set of Energy Fortns.R-O•W Permit fnr new construction. <br /> Mtnimum ten(10)working days afler submfltel date, equlred onsite,Conshuctlon Plans,Stormwater Plans w/Slit Fence installed, - <br /> Sanitary FaciliGes&1 dumpster.Sile Work Pertnft for II new proJects.Atl commerc{al requirements must meet wmpliance <br /> S113M PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far a11 NEW cons c8on. �i <br />, Dlrec�lons: � <br />, FlII out application completely. <br /> Ovmer&Contredor sign back of applicallon,notarized <br /> It oeer f250D,a Motice o(Commencemenl is requlred. (AIC up radee over�7SD0) <br />'i •' Agent(for the contractar)or Powe�of Attomey(for the owner)would be someone wllh notadzed tetter from owner aulharizing same <br /> OHER THE COUNTER PERMITTIHG-•�- -(Front of AppllcaQnn'Only) , , . � - • � <br /> Reroots Ii shingles Sewers }�Servlce Upgredes A!C-• �ence (PIoUSurvey/Footage) . •� • ' I <br /> '' . 1 �f ' ' • • . ... " i <br /> Driveways-Not over Counler if on putilic toadways..needs ROW _. .._ . , :_ " ' ' <br /> I <br />