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813-?80-0020 City of Zephyrhiiis Nermit Hpp�tcazion �a^-���-�U�-���� ,
<br /> � � Building Department ' "
<br /> Da#e Rece�ved l � � a� � � � � Phane Contact for Permitting (�.�� !��� __ UJ��:�._ . .
<br /> I' ovuner's:Naine � � /��� OwnerPhoneNumber ���:��� IS ���«'�';':�'''•.
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<br /> Ownerfs:Address��, ��I SCf{b'llQ f N'i�� "u V'ti5�('�G �r ��� Owne'r Phone Number � Y -
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<br /> Fee Simple Titleholder Name OwnerPhane Number � �
<br /> �Fee Simple Titleholder Address - � , � ,
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<br /> JOBADDRESS� �..IS� �J � . . LOT# �, ���.� �
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<br /> suBOMvrsiotv✓ �:I S 4 6� _� P�RCEG:tn�, r�-al�-c��-C�blb.-��i�{Ot}-^a��.� ' , : -
<br /> , , � �`� " �° }�"-�::� (OBTAINED FROM PROPERTYTAX NOTICE) ' .
<br /> W,OFi1C;1?ROt?OSEDV ' � NEW CONSTR e ADDlALT � SIGN Q M01/E Q DEMOLISH
<br /> � � ` � INBTALL REPAIR j
<br /> PROPOSED USE .. ,� Q SFR � CONlM ; C}TFiER . ,
<br /> TYPE OF CONSTRUCTION � ' BLOC Q FRAME Q STEEI. [� OTHER(�� �--�
<br /> DESCRIP.TIQN:iOF.�WORK� �OLi�O f--�- (�e'"�UC}i" ��.,S l.�►`t�� r t� �-t���i�} �S �IUt�1 Q S� ���`'"'`'f e- �,
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<br /> BUIL.DING SIZE C_ ..��. ;;;SQ'�F'OOTAGE: I����� HEIGtIT . S` �t� -�44�2
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<br /> Q BUILDING $;-_ =-f� _�.t�t'�:;;,�;;;.., � : • � • ' ` „ -
<br /> _ '.�>r �a::. `:i��si� ::.UALUATION::OF>TOTAL:GONS3'RUCT{ON _ . ,
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<br /> Q E1�ECTRIGAL � �I AMP SERVICE � PROGftESS ENERGY 0 ttU.R,E.G.
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<br /> o P���,���a �- -� , �. ��, ��3. �� , � .
<br /> Q MECHANECAL ($ � VALUATION QF MECHANICAL tNSTALLA3'ION " � �
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<br /> Q GAS � ROOFING � SPEGIA�TY Q {�THEFt , �
<br /> FINISHED FL.00R ELEVATICINS � � FLOOD ZONE AREA QYES [�NO
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<br /> 8UltDER ' CO�i1PANY -
<br /> SIGNATURE REGISTEREp�� � Y/ N FEE CURRENT% r Y/N -
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<br /> Address � License# �- ' " `�
<br /> ELEGTi21CtAN COMPANY `
<br /> SIGNATURE REGISTEREp Y I N FEE CUF2RENT 'Y/N
<br /> Address � License# � ' �
<br /> PLUMBER GQMPANY � �
<br /> SIGNATURE � ' REGISTERED Y/ N FEE CURRENT- Y/N �
<br /> Address � License# � •• �
<br /> MEGHANICAL COMPANY � '
<br /> SIGNATURE � ' REGISTERED Y I N FEE CURR�NT Y/N
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<br /> Address � ' Lieense#
<br /> �OT(iEFt�;s � :;Ct}lU1PA1+IY �C� C3 T '�{-t'�C..` ' '.�' . ,
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<br /> SIGNATURE?� `� �`REGISTEREp Y/ N FEE CU ENT /'N '
<br /> �i4ililress ` i�L'icense:# C�`-�t����� �
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<br /> t2EStDENTIAL Atfach{2}P[ot Plans;{2}sefs of 8uilding Ptans;{1}sef af Energy Fortns;R-C}-Vlt Permit for new cansfruction,
<br /> � , Minimum ten(10)working-days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed,
<br /> San�tary,Fac'slitfes&1 dumps#er;Site Work Permit for subdiVisions/large proJects . � ` ; ' � • � . .
<br /> COMMERGiAL Af#ach(3}sets of�Building Ptans;(1}set of Energy Forms.R-4-W.Permi#far new canslruction. ��. � ' � �
<br /> Minimum ten(10)�working tlays after submittal date. Required onsite,Construction Plans,'Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facitities&'i�dampsker.Sike Work Permit for ail new projecks.Atl commerciaf requ3rerrients must irieet compliance'�
<br /> StGN PERM{T Affach(2)sets ot Engineered Ptans.' ' � . ' -
<br /> *"*'PROPERTY SURVEY`required far all NEW construction. , ,� " ,' �
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<br /> Rirec#ions: , . _ , . _ , ,
<br /> FIII out application completely. ,'
<br /> Owner&Cantraator sign back of appticafion,notarized �
<br /> ` tf over$2500,a Notice of Commencement is required. (A/C upgrades over$5040) i
<br /> ** Agent(for the contrackar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ��
<br /> 'OVEF2 THE COUNTER PERMITTING (Fronf of Appiica#ion Oniy) � ,• '
<br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ` �,
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<br /> Driveways-Not over.Counter,if on,pub)i�c roadways..needs,ROV11 �!�`=---- -- -••-` � •_ �"'- "`�' `-_- - � � •
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