� t � � t$
<br /> /� aa3-�eaoozo City of Zephyrhilis P�rmit Application „�---� 3-780-Q021 �,`
<br /> , ' Buliding Depaiimen#
<br /> ;
<br /> . � �
<br /> i
<br /> � uate Rece�ved ' � i Zfc� _ �1 S,3`7 �
<br /> F +� ::Phone.Cantact�for.<Pernii�#1� �
<br /> Owner's Name �t-i'C-��.N(tL �� ���� �l��- Own hoae Number $��• �`'�2�
<br /> Owner's Address ��:g�� �'�''< <`��� �L '� ��'�'� N -OwMer Phone Num6er �.
<br /> { �
<br /> . '
<br /> Fe�8lmple Titleholdee.Name � ' • � 4uvner�+hone Mumber '�
<br /> .�
<br /> Fee Simple Titleholder Addresa
<br /> � �
<br /> JOB ADDRESS ���o�� �-Q-H N�-� 'a� E 'Z�"P�'Y�K�I I S '��S� 2 L07# ���
<br /> SU9DIVISIQPI � � Pj1RC�l.ID# ' ,
<br /> � r . ; � (OBTAINED FRQM PROPERtY,TAX.NOTICE)
<br /> i ;
<br /> WOFiKPRt9P8SED .NEWCONSTR RDD/At,7 [�]' StGN` �[�� Q DEMQLISH
<br /> ` ' e. INSTAI,L 8 FtEPAIR '
<br /> 4
<br /> ��o�as�ai:us� 0 sF�t. [� '-con�M� � � � , azN��, : _..
<br /> f d — •
<br /> nrp�oF coNsrRuc�noN = �]� � �a�ocK , :C'] ��n� �Q: sTE��. °[� �
<br /> . -,. ���v�.. � .5-t�v+� u t c -z-fl�� ��.r� 4 v-,.�� ,�c��a.�ow.
<br /> DESGitIPT10NOFWORK Qr-�� 1..av�,cRr �+sm . l.t�rv+c�.ow5 a.ut� D�ra�-S �cs2w�.�,T ��Z.rt�i, ��252 �tC.v�n l
<br /> ,
<br /> � ; - � G,a„o,v.,c� p cx�, 1.An w,�o t
<br /> BUILDINGj�12E � _�� SQ FOQ7I�GE.`�;5� � ; _.HEICaHT ,C,�„� .��'`'�T"� t�-�i�c+csi w4u.v`l,
<br /> +x
<br /> � , ,. � .. . , .. , . , .
<br /> �BUILDING $ t��,Q p, o� VALIfATiON.'O`F`TG11'AL'�COPJS'1'Rll'CTION M � '
<br /> �i , ,
<br /> QE�,ECTRIGA� ��y>� AMP SERVICE `, :Q PROGRESS ENERGY � 'W;R.E:C.
<br /> LI.�p e��. 4{, _
<br /> . , _
<br /> ,X�P.LUM811�G , $ .,Z�,�p a a - . ,
<br /> f ,,,—,,,. �S`�"'
<br /> . �.� ,
<br /> QMECHAPlIGAL $ \tAi:17ATtQN QF<(1itECFl�A�lICA�[NSTAlLAX10i+F_ �U �
<br /> , 35�o, a o � - .. . „ . � ���tt'��t�--
<br /> , ::. . .:. :.. � r~
<br /> Qc�s [� aooF�ra� .� sP�cEa��nr,.0.,= ;o�r»�e
<br /> FINISHED FI.00R ELEVATIONS ��y� FLOOD�ONE AREA QY�S. NO
<br /> � t;
<br /> ,a. — �+`rr_ ,S � - v F
<br /> ,{ _ . . .. . . � , � . :' . . �� .
<br /> , ' .
<br /> � ._ ...., _.� [ �� t� _ ._.- ��J:G•.V. C�—v.s�.ns.�—'���c�tt� LL�.
<br /> �4�18.3��� � �t � � Ci�MPA1�Y` -�
<br /> SIGNATUI2E REOISTERED Y/ N FEE CURREK" ' ' Y/N- ,
<br /> • � . ,
<br /> Address �1 t r �.Q.(,� A v@. �w..�.�.. 336 7�..�. � l:ic"ense.#' C�"����. i O� � �
<br /> i'
<br /> e� �'¢" V�• {
<br /> ELECTRIC.l�1.' �" .q�%�''%� R � 'C0IWPANY L^��r�7`�t G �4lZ.f� . Q'� +
<br /> SIGNATURE= � REGISTEREd Y/ N FEE CWRRE�" '�'Y/•N
<br /> Addrsss.. '"'���•:-� 5�7� •57- ?'S,r�r � 3 3�%6 , , License#.I.`��/3 p� 5�5C>�
<br /> ,
<br /> P�.tlMBER;' � �Rt Gt1MPANY f, ,�.tJ'�.�,...,���5`Cl211C1`�!O�.3 3.-NC.
<br /> SIGNATURE' " �.. , �� ' REQISTERED. . .Y./>.N:; _,,.,..,.FEE,CURiten Y/�F. :
<br /> AddreSs `�.to t� ..�3 '�JA 10�3 t �C N N �t'�l-�l�t '�3 ,c�'j J' ., r .. �'_Y.., �* ('�L��'. � �.� �.-2-
<br /> ',,Ucens,e#`I�. :_�.: .�- � �. .�;
<br /> --. ,. .. -.. -- ,.x w
<br /> �Ec�,a�c�:� ��c+a���aEiir --.L��-��.' ���=lat C� .r..r� _
<br /> siaN,�ruRi��. " � - 3;. t�..... . ,, ,
<br /> ���� FtEGISTERED�,� _-Y/ N. S FEE CURRE�� Y:/tN ,
<br /> aaare�s=��:,:;�7 � h SFa�57` 7�-i� ,a 3„�61c>. . - � _.�_. . �Lirsnse`#��'Ct�c./Z,�'o 2-99 �
<br /> t� . . .. . � . . . � . . �• . ° '�,R� � - _ ,..
<br /> O'�FiER -. � : __ � �• ' ` :�{�}I,AAPANY' - . � . .':.. -
<br /> SIGNATURE ��`� �; - • � � " "REOISTERE^D`` Y/ N:,<' '"FEE'CURREA Y/N•.
<br /> �dr88�� ,} ` ��_ . .. .' .. _. . ., .uC8ii39#''� ` Y� � '
<br /> � .. .� 4.<: ',� -.. � _• . _ .
<br /> RESIDEN't�At:�_,,.rAi#ac1%�{2)�Plc#�Plan's�A(2}se#sof�8ultiling+Plaii's;'(13'set afi�Eriergy=Fo'riims:�R=O=W;Pemii#��Or I18YVt CO�iS�t't�C�Ott, ' . :
<br /> � ��Mlnimumg.ten�(10)'�working;days!:aftefwsubmlEtel�tlate.=;�Requlied ons(te;.ConstiucNon`Plans;�Starmwefer7Plan's�w/Sqt�Fe�ce installed;
<br /> � .:`> P Sanftary F�aciltUes,&t dumpster;`Slte 1Nq�lc Pemalt for�su6d{vislonsllarg,e{projects`�,z_y::.;,;:. ,�.rt>;_ :. ,ti , •, : •
<br /> • -CONlMERCIAi. Attach{3).comptete`ss`et"s,ofBu�ilding:Plans plus a.!lfe�Safefy Page;-(1}set of Energy Fcims.R�O-Vil Pertnit#ar new�nstruc#on.
<br /> Minimum ten(10)wrorking days after submlt�l date. Required onsite,Canstruckion Plane,$tormwater Plans w/SUt Fence installed,
<br /> , Santtary�adlltles&1 dumpster.Site Wqdc Permit far alt new proJects.,Ail commerciai reguirements_must meei coo�np!lance
<br /> �3lGN PEFtMIT Attacti(2)"sets af�Eii9��8e�ed;i?l�ns;,;,, ::�.s: .:�:. :' , . � . �
<br /> """•PROPERTY BURVEY'reyuireid for aII,IVEW,canstructlon. • •
<br /> Dlrec#1ons: ` � .- . ,.
<br /> FIII out applicatlon completely. �
<br /> Qwnet&Contractor stgn back of applfcattcn.notarized
<br /> tf over 5�600,a Notlae of Commencemsnt i�required. (A/C upgrades over 57500)
<br /> .. ��,�;�::,.a�r.,s..d;;.`,.
<br /> Agenk(fqr the�contractar)ar-Pbiroer of Attomey(far�ttie�owner)wauld be someone with notarized letter from owner authorizing saina
<br /> DVER TFiE COUNTER.PERMi7TfPIG.. .._...,(�ront of-APPIIcetion;Only).;- � ' . . : � " .
<br /> Reroafs if shingles � Sewers Service Upgradas A/G Fences(PlodSurvey/Footage) � "
<br /> Driveways-Not aver Caunter if an pubtic roadways::ne�ds-ROW' � . ;,:. . � �
<br /> s � ..�. !i . '\ p,r
<br /> ��r� ai�.e. �. ::t.: � � ` i:,*Ii.��i, �� .. . . . .S�i , `a
<br /> . . i 1 ,r. ._ _ : • ` ; . . � . ' V �
<br /> � (., r ` �� ! . ` v .._ � + t ' /'
<br /> � ^;i`i ii 2�` .. . . � ' � z -..tf��-'' 1
<br /> `ik �
<br />
|