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� � aisaso-oozo City of Zephyrrilis Permit Application Fax-873-760-0021 Euildiny Department � -- . � —� I Date Receivsd f6��s� • p��one ConLact4or t'ermitting If -- � � � � � � � � g�L7_L_LLLLLLA�I � a � t e Y-t-TTT Owner's Name _�r� ��i G� _____ ] OwnerPhone Number �� 3 7 �� CtwnersAddress !v�/ //LCI�'��R/�1T(/�� C�.i Ow�1er?heneNumber C_—__� Fee Sirnple Tilleholder Name �- ___ ___._J Cwner Phone kurnber � I Fee Sirnple Titleholder Address i _ ! � - --� JOB ADDRESS ��.�C.,.L G!�-�i�• _ � lOT� �--� SUBDIVISION 'S ��l� PARCE!_IDq�_�a 5 �a�'- �I�a�o�-oOOaO-17 c� (O[3TAiNED FROM PROPERNTAX NOTIC[) WORK PROPOSED � NEW CONSTR�l ADD/ALT � SIGN � � DEMOLISH INSTALL � REPAIR 1�'�(� �`� PROPOSED USE u SFR � CCF,hi�1 � OTHEP. _�1�'�_�"�' ' � TYPE OF CON5TRUCTION 0 BLOCK 0 FRAME � STF_EL � DESCRIPTION OF WORK �� ` "`L�n \�-i.� �`C�_VOV_��S ___ I �.-- - -- ___� __i � r------------� ,-----�---• �--- RUILDING SIZF i 54 cOOT?GE i I }'�'.�H'i L- --� �--�----` - - '�"C"'YT4T'i-e"'r':'�:^'S'�V"P'T'L'^'�'¢"k"�7'TTT'S"6-'A�n'l�Y4"3"Ea"rt`T'•3"S'F CY'?r1"4"Y�T,"4"�'Y1'TY'P�P"STTTi"'1'T'➢"Lr' �BUILDING �� -� VALUATIOPJOFTOTi1LCvPJ�TRi;C710iJ �ELECTRICAL �� _/r{_ �-.r ey9�AN��SERVICE �� PROGRESS ENERGY � W.R.E.C. �I l/J .�� �PLUMBING �� f � 6 � )�yy��`�/��',�Q`' �MECHANICA:. $ -I V4LUATION OF NE�NANIC.AI_iNSTAI.LATION C� I �_—� `y/��J,�J y�� /�� OGAS ��] ROOFINr �� SPECIAI.Tv �� 0�i{ER ~ _ v FINIuHED FLOOR�LE`lATION� �I- -�I FLOOL`"LOP1E ARE_.�� L�Y'ES NO L.-----�-E .�-3�M7--t ` '�' ' '�rr' � 'S-o�i-'a�"--;-�&�'..�r+-��-�,•�T T��S.,P1�-a-vW-Evh�-t.�°�-�S '�«�-:-:.-s`-�-.�-w-.' 1�d-.h�&-9•� - '--- ---'--'� �-- - - ------� BUILDER � COidPANY L_ 3lGNATJRE �_____ __ i P.ECiISTERE(7 r Y i IV�'-FEE CURP.Et. Tl•-/N�----' Address � __ _ � Licen�e# � _I -�--- �� C t� � ELECTRICIAN 1�z��h1n7�A I� - Ll� CGMPANY c�uv..i- SIGNATURE _ U� �'�V RFGISTERED Y/ N F'cE rURREh Y/N Address �- � Uc.nse# l��-�� -� ---� r----- -- PLL'fdR�R I GOMPi�NY I SI�NATURE �__________" RECISTfi;+c� � 1'1 N T FEEG:;�RB�.-T yl�—_-- -- - - - -:,ddre•sa ' L - - _ —.`--------� - '-- Lice�r;�# L_� ^--__---i - - ' _- - - �l �utECNMIIC,� � COh1PANY (_r_�----- � SIGNATURE � _ ___� REGIST�RED � 'r/ N � FEE CURRF.D Y/N Address �_ —, License# j� � OTHER � � COM1f,PANY � SIGNATURC RCGISTERED Y 1 N_ FEE CURRE� Y/N �-- I � Address r— ___________� License# L_ _ � IIEI01lIS71tEt & IB191t16711lIBIt77Yt � 7B1 [ 1li131llilflilllllllfl6 ! Iti � RF_SIDENTlAL Attacti(7_)Plot Plans(i)sets of Building Plans;f�)set of Eneryy Forms:R-O-W Permit for new construction, Minimum ten(10)workirg days after subriittal datc:. i�equ�r.=.d onsite,Construc:tior.Pizns,Srormwaler Plans w/Sili Fence installed, � Sandary Facilities h 1 dcmpster,Site'vVork Pem�ii For>uhdivisioa;ilarye po:iec:s COtdMERCIAL Att:,r,h(2)complete setc o`Build�ng Plans p��s a L�fe Saleiy Page;(1)sr.s.of Energy Forms.R-O-\N Permit for new construction. Minimum ten(10j workiny;;ays after suGr*iitta!�iate. ReGuired onsite,Corstruction Plans,Slonnwater Plans w/Sili Fence installed, Sani[x;j Pacili;ies S 1 dumpster �itr�Nork Permit fnr ai1 natv proiects.Ali comriercial requiremants musl meet compliance SIGt�PEROiIT Attech(2)sets oi Er.g�neered Plans. ""PROPERTY,9UkVcY required for all NEW constnictior. o3-a.-�-S c..x-.=�-. . . Directions: Fill out application corriole[ely. Owner 8 Contractor sign hack of appli�.aticn,notaiized If over$2500,a Notice of Commencement is required. (WC upgrades�ver$7500) '" Agent(for the contractor)or Power cf AI[omey(for the ownerl would be soineone with notari-r_ed letter from owner authorizin�same ��JER THE COUNTEft R'eR1171TfING (copy of contract required) Reroofs;f shinyles Sevder; Service Upgr�des A/C Fences(PIot/5urvey/Fcota�e) Driveways-Nct over Counter i!on public roadwab's..rieads ROW �