|
u�s-�au-uu[u C:ity ot Zephyrhil�s Nermit�►pp�ication rax-es�3-rou-uu�i
<br /> A � Building Department
<br /> ' 'gq.
<br /> Date Received . ;phone Contact for Permitting -
<br /> ,,
<br /> Owner's Name � ����� Owner Phone Number _
<br /> Owner's Address (�-���! �'���Til�� O�wner Phon�Number
<br /> Fee Simple,',Titleholder Name ` OwnerPhone Number �
<br /> Fee Simple�Titleholder Address �
<br /> JOBADDRESS U5�� �tx-r'IU��G�� //�- LOT# �
<br /> � ��p �J I
<br /> � SUBDIYISION SI L���— ��L� I PARCEL:ID#,. `,���' "'l� �—�PDOD-�Ol� I
<br /> ' . (OBTAINED FROM PROPERTI(TAX NOTICE) ,
<br /> WORK PROPOSED . NEW CONSTR' ADDIALT Q SIGN Q � Q' DEMOCISH
<br /> � g INSTALL e REPAIR
<br /> PROPOSED"USE Q R Q 'COMM Q OTHER `
<br /> TYPE OF C,ONSTRUCTIOIV � BLOCK - .Q ''FRAME � STEEL Q -
<br /> DESCRIPTION OF WORK ' � ' D��' bi/��� �f� '�-�/D`/�� �, '�
<br /> i
<br /> i
<br /> BUILDING'$IZE - SQ'FOOTAGE HEIGH7 •
<br /> ,..$ } ,
<br /> QBUILDING $ l��� '! VALUATION'OFTOTALCONSl'RUCT.ION
<br /> E `
<br /> s -
<br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> 4
<br /> • 1.; _
<br /> [�PLUMBING $
<br /> i �
<br /> Q#ECHANICAL $ ' ' VALUATION OF MECHANICAL INSTALLATION
<br /> C}GAS ROOFING Q_ SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> s � ,
<br /> BUILDER ' � COMPANY '
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 1'/N
<br /> Address License# i
<br /> :,- 'ELEC.T�RI,CIi4N ,;. - � COMPANY ��•
<br /> " -SIGNATURE REGISTERED Y/ N FEE CURREA ' Y/N.
<br /> . �da�ess ' License# •
<br /> , PLUMB'ER.;. ; , . "COIffIPAhIY-
<br /> SIGPIATUEtE� _ ��isTEReo Y/ N ' Fee CURtte� Y/N .
<br /> Address License#_ :�
<br /> , . :.;Y - . -
<br /> '` flIIECF174NICAL� . - = COMIPANY
<br /> "'` SIGNATURE''' � ��' `. �� - � � REGISTERED � , ' Y/:N FEE cuw;en Y/N . �
<br /> �;;a:-,. � . V v
<br /> . Addres���° ` ' Licens.e.# �
<br /> �,?s�,� /� ,/
<br /> :'OTHER;.`.=r�_:f ,s � � 'COMPANY S>,�d�%�� �D��N� .
<br /> :�"SIGNATURE:';;„_ -;^, , - " REGISTERED Y/.N- . FEE-0URRE�' , Y/N
<br /> , �aa���<.. r,�.:�;,. ��,�0 �.t/:,.��.� :.��>J�°C/�Z �` ,.. License# Q�D���
<br /> _ - • .. ,}k„'P•.. , . . , ,
<br /> FR IDENTIAL�=r.`� - h�2,:�Pi =RI"' �-o#`B`'�ildi"`�Pla''s• 1-? "tof�Ene�' 'Fo �s°R{'0-VI1Pe� it `rneviw,construction
<br /> �_ ES _ ,..:.';�Attac.(,),..,ot,.5 an"_s.;'j2)asefe u ng, n ,,( ),se gy, .rin ,,,.. . Rn. fo
<br /> ,,.�=,:;., , }• - = . ,.... , . -
<br /> _, --:,«��;r�z•y3�,�•=;Minwlmum;.tenr.(1,0)�workingEdays�after sptimittal;date.":�Required''onsi�e;'Constructiorr'Plans,�Stormwater�Plai►"s w/Silt Fence.installed,
<br /> �K{, 4..,:v,� .,.a.+eT k" �•: r � , e. ' - � ,
<br /> ,;„r... , Sanitary,�FaciliLes&�1 dumpste�,Sit�<<Work�Rermit forvsubdivisions/latge?projects' , -
<br /> ;:`�;C.OMMERCIAL Attach�°(2)�com'pl'ete'sets of`Building Plan's�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> . Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Siit Fence installed,
<br /> -�"��.'.. Sanitary FaclltUes 8�1 dumpsterr.Site Work Permit fo��ll=new�projects.All commercial requirements must meet compliance �
<br /> .��.� � _.,.�,,...<,.�..-.: , -
<br /> `='SIGN`..PERNIIT "AttacFi'°(2)sets:o��E�gineered;F?lans:.+::.=�: � : -
<br /> ,r'���i:.; � 1��\�
<br /> -�� - PROPERTY SURVEY_required:for.all.NEW.constirucUon..
<br /> :;�,�•_ - - - •
<br /> �y�=�Dicectlons: _ . �.... ,°�ar., .. �
<br /> '�� �FIII._out applicaUon completely.
<br /> Owner&+ConVactor sign.back of application,notarized
<br /> If.over'$2500;.a Notice�.of:C,ommencement is required. (A/C upgrades over$7500) _
<br /> .. �...::,,.;„,..;
<br /> ��'.'� .Agent`(for'tFie`'c`iintracto�)�or°Power-of'Aftomey(for tFie owne�)v✓ould tie someone with notarized letter from owner authorizing same
<br /> ''��OYER3THE�COt1NTER;:P...ERMI7TIWG�, _ .,(copy:ofacontract:requtred) ' `�'''' '
<br /> t�::�.Re�oofs,if:sfiingles � Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> - � .a�a�;:�,.:-.::; - ..
<br /> _ _'DY(veways-Not over Counter'if on public`roadways::needs ROW
<br />
|