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u�-s-iau-uuzu C:ity ot Zephyrnuis Nermit App�ication rax-u�-s-�ou-uu��
<br /> • Building Department
<br /> . �,
<br /> Date Received aL-22-.Zo 1 B l .
<br /> ; �Phone Contaat.for Permitting a 3 ��o' ` _. .312Z
<br /> Owner'sName ��'«^ T�`� �Y+�'^ �LC� F"�^�+i� OwrnerPhoneNumber , �.i3- 9Z1+- ��33
<br /> �� �.,.�t.s P�t�. # �, �.l las -rx . i sas�i
<br /> Owner's Address �y Z�o � I Owner Phone Number ��3' Ly�' 3 1 LZ
<br /> Fee Simple;Titleholder Name ' OwrnerPhone Idumber�
<br /> Fee Simple,Yitleholder Address
<br /> JOBADDRESS 3q3a ► a� �Va . 2Cp�+yrl����5 �-• 33�_�L LOT# �g
<br /> SUBDIVISION 5"^S�} E� � 2 pARCELID# . ��� ZV �21 - �3�a � o0000 — ot{$O
<br /> � , , _ (OBTAINED FROfN PROPERTY TAX NOTICE)
<br /> UVORK PROPOSED . NEW CONS7R ADD/ALT [� SIGN Q � Q' DEMOCISH
<br /> � e INSTALL B 'REPi41R
<br /> PROPOSED USE Q SFR Q COMM 0 OTHER
<br /> TYPE`.OF CONSTRUCTION Q� BLOCK • Q, FRAME � STEEL Q.
<br /> ; _
<br /> DESCRIPTiON OF WORIC � �
<br /> �
<br /> BUILDIFIG�SIZE �y�Z SQ FOOTAGE ��« HEIGHT�•
<br /> �::,
<br /> �BUILDING $ VALUATION'OF TOTAL CONSTRUCTIOiV
<br /> ;
<br /> { y �bCD.00
<br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> � i
<br /> OPLUMBING $
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> �
<br /> QGAS �✓ ROOFING Q SPECIALTY [� OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> SIGNATURE /N'4'�" k��� COMPANY �r�5 �orr�mc.-�-i C.o. =f1 C .
<br /> REGISTERED N FEE CURRE� Y/N
<br /> Address �3a�3 ���g$�-'�c�c� �C�. Oo�c SSo-- F`� �3SS�► ��icense# GC e- �3 z..5 S 7 Co
<br /> ';;. ;ELECTRI.C:.IAN ,;. � �COM PANY �
<br /> ..'SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address ' - License# 4
<br /> PCUflABER.;. + . 'CONflPANY
<br /> SIGNATURE � _�� REGISTERED Y•/ N ` FEE CURRE� Y/N
<br /> Address License# �
<br /> ;'MECHANICAL' � ' � � � C,OMPANY
<br /> '`'SIGNATURE' ' � � REGISTERED , Y/ N FEE CURRE� ,' Y/N
<br /> Address��� � � = License_#
<br /> x,;�,-. ;r .. . . . .
<br /> .�;OTHER;. .�'� � - ' � COMPkNY
<br /> �'=`$IGNATURE:1.-:;:: <� _ ' • • 'REGISTERED ' . Y/.�11 FEE CURREK , Y/N
<br /> .. �T;,.��;� ,t_.•_ ,�: ,. ,
<br /> �lddress:. ,_ - - :.:�.> _ . . �, " _ Cioense#
<br /> .i��,
<br /> .. ._ .
<br /> �,, , .
<br /> ._..-.,.-. . , .. . .. .
<br /> ..::,,RESIDENTIAL?;.-:;�Attacfi°i 2`.•RIox:Plan's•���2,;�'°. ... • � .. , :: �_ -� ,,. . _. . .: _, .. : .
<br /> , •,-...
<br /> �� :�. ,.:.�...�_(:.)..._ _ _.,( )`sefs�o�Buildirig'�Pians;(1�.setof�Energy4Forins;R;Q=W Perriiit�or�new.constiucGon,
<br /> ,. ..w.�,,r.,...
<br /> _ �-�-. �.zt,:,;-:�=-�;Minimum�hent(;10)workingxiiaqs;afterssutimithal:jiiate.=�=Required''�onsife#•Construction`Plan's,`Storinwater Plans w/Silt Fence installed;
<br /> � �Y ��Sanitary;Faailities�&�,1�.dumpster:Site Work:Permitfor;;subdivisions/large"pr`ojects�;;- ' ' - � '
<br /> CpN11pPERCIi4L Attach�2)�oomplete'sets°of'BuildingPlans plus a�Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit fornew construcdon.
<br /> _-�• - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,
<br /> f�':`-•� Sanitary Facilitles&1 dumpster.Site Worlc Permit fo�-alPnew.piojects.All commercial requirements.must meet compliance
<br /> �''�.'SIGN:PERMIT �Attach(2)sets;o.f�'Ejigineeied;Plans::�:..:. �•4 : �
<br /> �'rr^_ ����
<br /> •�%_': PROPERTY SURUEY required for.all,NE.W.,constiuction.� , ,
<br /> :;" _
<br /> -'.Di�ections: , T� �.;r ,. � � -
<br /> ...__ -= .:�:s°-.
<br />' FtlG.out:applicaUon,completely.
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<br /> O" r
<br /> ne &
<br /> Con c r.
<br /> tra to si bac
<br /> W n k of aJ}lication notarized
<br /> 9 PP
<br /> If:ovec'$2500;.a Notice of�Commencement is required. (A/C upgrades over$7500)
<br />� ��"``-- A enY forthe�con't�aotoi'�or�Power ofAftome'�for'ttie owner would'tie someone with notarized.letter from owner authorizing same
<br /> 9 � ) Y� ) ,
<br /> `$r}O,NER:7HE COUNTER;,P,.,ERMI7�ING'.. (copy_ofocontracE.reqwired) " ` � -
<br /> ":'Reroofs if.sfiingles Sewers Service Upgrades A/C =- Fences'(PlotlSurvey/Footage) ,
<br /> ' Driveways-Not over Counter,if on public�oadways._.neeils'R�1N` ' ,
<br /> � .
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