Laserfiche WebLink
s9s•�so-oaao ��ty o#Z�phyrhiils Permit Applicatian Fax-S13-780-0821 <br /> Buiiding Department <br /> Date�ece6e�d pY�one Co�ac@ far t�ermittin � - ��� <br /> Owrner's P1ame ts� 1! UrY.� +Owner Phone Wurnb�r <br /> Owner's Address � �� ewrner Phon�Number � � <br /> Fee Simpl�Ti4lahslder Name Own�r�hone Numb�r � � <br /> F��Simpt�Tittehotder A�sfc9ress <br /> .�o�,�����s �IG��Y? Y1�' � - �-��'� !�J <br /> 3U�D8VISIOF� `�� ��-�'��� ��c��i�� ��� -c`� - l��l� -(�(? (�l7-- (7Q�(7 <br /> (OBTdINED FROM PROPHRTYTAX NOTICE) <br /> WORFL p�B�+05ED , e NEW CONSTPt� I1DD/ALT � SIGN� Q [� DEMOLISH <br /> INST�.� REPAlR <br /> ��o�as��.�s� � s��a [� can�� [� a��R <br /> sv��o�cc����ucs�ora �C] e�.oc� • [p F�uE [`� s-r�E� {� <br /> pE�GRi��ICaPI CIF 1AfOR�( ��� �, � ! ��D� <br /> �UILDIiVC�IZE �Q FAdY�lGE�� HEfGHT ���� <br /> Q BUlLDiNG �� VAL.UATIOhI OF TOTAL CONST'RUCTIQId <br /> �ELECTRlCA� �$ --��-� AMP SERViCE [�] PROGRESS ENERGY Q W.R.E.C. <br /> �_____ <br /> QPLUMSti�G $ i�O�' �Q T ('�,�'l/�'' <br /> � <br /> QMEGNANICAL $ VALUATit�t�OF Pf�cC�HANECAL tNBTALLATiON <br /> ' � C/ <br /> d� <br /> �GAS Q ROpFl1VG -D SPECIALT`f [� QTHER <br /> F{NISHED F�QOR ELEVA'FtOIVS �__�--l� FL40D 24NE AREA QYES NO � <br /> �UIl,DER COMPA�idY <br /> SIG[dATURE REGiSTEREO Y 1 N �cuRREt* Y t iV <br /> Addres� License# � � <br /> E�ECT�tC1A�+t CO�R�ANY -- - <br /> SlGR1HTURE � FtEGESTERED Y/ P�1 FEE GllRREP Y J I�[ <br /> .e�ddr�ss Licanse# l � <br /> ����s�r� c�sw��av ��- 1� Y � �`� " <br /> SIGRll4YU�� REGIBFERED Y i P} PEE GURR� i Ri <br /> Aafidrer.� �i� � � �} � License n � �-c.�J`����� I <br /> 9f�ECN�96C�1 � CON��,�tY � ' <br /> �IGPIA�B�CF3� E2Ef.,lSTERED Y/ (V EEE GURREt+ � Y/Ai � <br /> �ddo�sts " License# �� I <br /> O'P�l�1� C€}ANPAAiX � <br /> SlCsi�ATURE REGISTERED Y/ M _ FEE CURREf+ Y/f�f � <br /> (�'�`` i ' <br /> �,��r�� . Lici�nse# ( � ' , <br /> i <br /> RESl���9'�IAl; Attach(2)Rlot�.Rlans;.(2)sets of Buflding�Plarts;{.1}sef of EriergyFot�ts;R-t?=W FssmIt for necv construc�, , <br /> Minimum.ten.(90)wrorkfng,days after,subtnifitaf date. Required onsite,Canstruc�on Pians;Stormtvater Ftar►s v�'�t e=��~,si�, - ; <br /> Sanitary Facllitles�.1,dumpste_r,Site Wotk Remtit far subdiVislons/large proJects <br /> COPAOY(ER�i�. Attach{3)comptete sefs af 8uttdlrig Plans plus a llfe Safety Page:{1}set of Energy Farms.R-0-W Fer:fiL�r:s...�,v o���r+. � <br /> Minimum ten{70�wortcing days after submttta!date. Required ons'ste,Ganstruc�on Ptans,$�rm�atar P1����t�ea���s°-��, <br /> SaNtaty Faciiities 8 1 dumpster.Site Wark Permit far all new projects.Atl commerch^�I t�q�serr��nu�t���rr.pFi�i� <br /> SIGAf PEi�IT Attacti'(2)"sets of Englneered Plans. - <br /> "•'PROPER7Y SURVEY required#or at!NEW constructian. <br /> �fract2anS. - - • -- - - - <br /> Ftll out applicaSoa complekely. - <br /> Owner�Contraotor sign back of application,notarixed <br /> €f ov�r�2�60,a Pta�6c�of�ammencermanY!s r�qui�d. (�JC upgr�des over$T500} <br /> � �' =;�,-�;(:;�cc�e contractar)or Power of Attamay�(for the owner}wauld be someone wifh notarized tefter from owner aufhorizing same <br /> �;'���£G�'�c`T�..R PEF'cF,9iTi'ihtG . (Front of Application Onty) . <br /> �=�'�".�• :..���- Secvice Upgrades A!C Fences(Pta#tSurveylFoatage} <br /> - , �MN�•i�_�-�`:�.�~-i��y.;..�.�:.�:����ys,.needs FtOW <br /> ti, ,. . . _ -.. _ - ' <br /> •'�"y'=���,' <br /> � ��:��� - .. <br />