Laserfiche WebLink
�. • � � <br /> st�-7so-0o2o City of Zephyfii4s Pemnit Application F�-������ <br /> t ; euiiding oepartmes�t <br /> Da6e RQeeir•ed Phone Cortactfolr Permitting �f �) /�o�— �b <br /> j � �r <br /> Owners Name '"'"/ l„������� � Oxmer Phone Number ��`"' 1/" /�� <br /> owerers address ;J ����1 �t� ,� owner phone Nwnber �� <br /> Fee Simple TiUeholder Name Owner Phorre Number � � <br /> Fee Simple TiNeholder Addr�s ' <br /> JOBADDRESS .7 G"�1• L57 !L �I"T� tAT# �� <br /> SUBDMSION � � PARGE�ED& !/� vY �f� � d � <br /> �,�+�+ tosrar�a�ott rrzav�rr r,ix Honc� <br /> WORK PROPOSED e NEW cAt�tslR�ADD/AI.T � SIGN C] Q DEMOLISH , <br /> 3NSTALL REPAtR ( <br /> PROPOSED USE Q SFR Q COMM �� OTHER � <br /> TYPE OF CONS7RUCTION Q BLQCK Q FRAME Q S7EEL [= I <br /> DESCRIPi10N OF WORK G�o L� �7/V 4�'b GG-`� '� /G�N C,tT//1 IV� ' <br /> BUI4DIN6 S� � � SQ FOQTAGE HEIGHT � <br /> I <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION I <br /> i <br /> QELEGTRICAL �� AMP SF_RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPlUMBING �� <br /> �MECt�lAtdiCAl. S �-��� YALUATION CtF MECHAt+IlCAL lNSTALLATION <br /> QGAS Q FtOOFlNO Q SPECIAL'IY � OTHER <br /> FINISNED FLOOR EtFVA'E14NS �� FC04A ZONE RREA QYES NO <br /> BUI4DER � � CQMPANY � � <br /> SIONATURE I r��ISTeReo Y/ N �e euwzen Y!N <br /> e�t�� u��#C � � <br /> ELEC1RiC!/W COMPANY I <br /> SIGNA7URE s�G�s'r�zID Y t N �cURs�en Y t N <br /> IAddress License#�� <br /> I <br />� PLUMBER COMPpNY t <br /> SIGNATURE t�alsTeam Y/ N �e cuRREn Y/N <br /> Addmss Licettse#C!_ � � <br /> �—' <br /> MECHANlCAL �l/rn� "7'�,/�.���� conara�n ��,'S�i7N� �T_� -� <br /> SS�HAATt3RE �isr�En TY i N �cust�n Y 1 N <br /> I Address /'7��' Licehse#���`��� <br /> OTHER � � COMPANY � � <br /> SIGNpTURE �olstflzm Y/N t�e WRttEn Y/N i <br />� Address L3censs#� � � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111 i <br /> RESIDEMIAL Attach(2)Plat Plans:{2)sets of Buiiding Plarrs:(1)set of Energy Fortns;R-0-W Permk for new construdion, <br /> t�Tnimum ten{10y vrorking days after submiftaf date. Required rn�site,CanstrucBon Pians,Stomnvafer Atans wl Sitt Fence instalted, <br /> Sanitary FaaliNes 8'1 dumpster;Site Work Permit fw subdivisionsJlarge prpjects <br /> COMMERCIAI. Attach(2)compiefe sets al`Bwlding Plans Plus e Life Safety Page;(1)set of Energy Forms.R-p-W PertniC for�ew construdio�. <br />� Minimum ten(10}woddng days aRer subrnitta!date. Required a�i!!e,Construc:li4n Plans,Starmwater Plans wt Silt Fence insta!led. 1 <br /> Sanitary FarStifies�i dumpster.Site Wak PetmfE for aSf new projects.At[commembi requirements mast meet compiia�e � <br /> SIGN PERMR' Attach(2)sets of Engineered Piar�s. ` <br /> '""PROPERTY SURVEY requ'ved for all NEW cfl�utrudlon. ; <br />� , . : . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . ._ . , <br /> Directions: <br /> Fill out application completely. <br /> C7wner 8 Contractor.slgn badt af applicaafinn,notarized , <br /> It otier i25d0.a Hofica of Commeneemeist ts reydired (AtC apgrades over 375QQ) •. _ • ... . -- -. "a. x�,r <br /> " Agent(for the corrttaactwj or Puwer of Attomey(for ttie owner)wouid be someona with noG3rized letter from awner authorizing same �� <br /> OVER Tt1E COUNTER PERMIT7iNG {copy ot�trad requlred) - <br /> Reta�uts if shingtes Se»ers - Sesvice Upgtadas AtC Feaces{PtoN3urveylFootage} - ' -,. <br />� priveways-Not over Counter if'on.public roadways..need's RC1W _ _ . ` y " <br />� - . _ , , , <br />