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s��-7$o-oozo Gity of Zephyrhilts Permit Appiicatian Faxx-t373-`lt3U-tlU2'i
<br /> • Building Department
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<br /> Date Reaeiqed �,,., '� � ; ;=.phone Contact�for Permitting �?J ���'�� ��3
<br /> Owrner's Naene � �C�-v� Owner Phone Number _,
<br /> �-n c�, � ��-- �
<br /> Owner's Address . ✓c✓� .J �-f�.� a ' Owner Phone Number �
<br /> f � � Owner'Phane Nuenber� �� � ,
<br /> Fee S4mple}Tiflehalder Name
<br /> -Fee S9mp[eiTiftehatder Aildcess
<br /> .roe,a���Ess �� 1 Z��`�� �.or# �
<br /> susQ�u�sian� � � �a�tcEL��# 1�` � ` a�`.�o(o -a{�- �0 a�3 a
<br /> ! (09TAINED fROM PROPERTY TAX NOTtCE)
<br /> WORK PRQPOSED . NeW CONSTR ADD/�LT Q SIGN Q � CJ DEMOUSH
<br /> e INSTALL 8 �REF"AIR
<br /> PROPOSED USE Q SFR Q COMM � 4THER
<br /> iYPE'OF CONSTRUCI'!O�! Q� BlOCK • Q FRAME � S7EEL Q.
<br /> � �. �` �
<br /> DESCRtPTiQN{1F WORK ��I�P/t.. ,j`� S
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<br /> BUIL�!!NG'3fZE C- � SQ FQQTAC,E -� HElGH1' ;
<br /> .:r.�..b .
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<br /> QBUILDING � �' - "{Y`� VALUATiON'OF TOTAL CONSTRUCT.EQN
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<br /> nELECTRICAL �; � AMP SERVICE C] PROGRESS�NERGY [� W.R.E.G.
<br /> 3
<br /> QP�LUM6ING ��a� �� �
<br /> " l../ �.��
<br /> QMECHANICAI. $ � VALUATION OF MECHANICAL INSTALI:ATION �y
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<br /> Q,GAS � ROOFING Q SPECIALTY � OTHER � � � v�� �
<br /> FINISHED FLOOR ELEVATiONS FLOOD ZONE AREA QYES NO
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<br /> :BlJILDER CO�VtPANY ..
<br /> SiGNATURE REGISTERED Y�i N F��cur�n Y I N.
<br /> Address �icense# � �
<br /> - EI��C,'�RI,GlAN :. COl1�PANY
<br /> �.`.-SIGNATURE REGISTERED Y/ N • FEE CURRE� , ' Y/N
<br /> L � Addr�ss` ' � - License# � �
<br /> � fP
<br /> �- PkIJMBE(t.? 'COlV(PANY -
<br /> ;' StGfilATiJRE� ttE�isTEaeo Y/ N:. � - .FSE cuR�n Y/N
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<br /> � , Adcl�ess - - �Icerise#,��. �
<br /> ` MECHlW3G�Al. C,Ql�PAP6Y �
<br /> �'"SiGNATURE''-rt �� "- ' � � �REGISTERED , Y! N F��cuw�n Y/N ,
<br /> .i. .
<br /> A�dresss�. ' � l.icense.#"
<br /> OTHER?Y '.�, � Y��„��,�,:�'/J`�,-�„ �r O� GQMPAPtY . �-- -
<br /> '�:,::'SiGNATURE:4�::�_ ��. .: R�cisTER�D' . Y/.N Fe�CUw�n' Y/N ,
<br /> • . :f,:.::�:�?�� ` r .�f�t - �
<br /> Aiidress=� _ `�s�. �t� _ . '�icerise# �e-�`� ���'Z...._
<br /> ' .'RE§IDEIU'1'IAL�>�£:•4Atta'afi'�2".Plot;Plans=x`2,�sets�of;Bui!'din"�Ptans�' 9z?set of�Ene 'Forins��R=G1-.W Pe�'�'It€ar n w.� ', - , •- . . .
<br /> _ _,t_)._ ,� }- 8 .{ ) . �9Y. ,��. _�. e{_cat�stiuction�...
<br /> _ 4�,z - :�-��Minimum�ften;(;10};workin fda s;afte�'su6r�iittal�date.=."Requireil�`onsite;Constriu''ction Plans'8toiinwater Plaris w!Silt Fence insfalled,
<br /> _,- .�i:;_ , •.,, .�. �,, � < .9;-. Y' -. , _ �� ,
<br /> - Sani#ary�,Facillties�&;;�1�,ndumpsl�r;r.Sife;;,Wortc�Fermit:for:;si�bdivisions/large;proje¢ts�=,- i:;= _ ' � .. .,
<br /> �� �.,s ,,-..:.. . - -- +w.r,.,_..::..� ... �....
<br /> ��;;;.C.O�lMERGIAG Attacir�2}catnplete sefs of'8uilding P2ans pttis a Life�Safefy'Page;(4}set of Energy Forms.Ft-O-W FermIt for'new cons#ructton.�
<br /> -"� - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence.lnstalled,
<br /> ,,;-;;::: :. Sanitary FaGlfUes 8�1 dumpster.Site.Worlc Permit fo"r-��Ifnew piojects.All cammercial requirements must meetcompliance
<br /> a:.SIGN:'PERlIitIT ""Aftach'{�)sefs;of;EngtneecedrAlaris:r+r.�,. . .. , • • , �
<br /> «„'PROPERTY SURVEY re,quired_for aII,NEW.constructlon.. ,
<br /> -;:Dltectlons: �,.s�,. .... ..:>s; __
<br /> " � ��F:fll-outapplication completely. ��
<br /> '�` O.u'vner&Contractor:sign back of application,notarized
<br /> . - tf aver:$2540;.a NotFce of:GommencamsnE is requFred. {�IC upgrad�s over$T50d) _
<br /> ���_"� i4gent�(for�tFiervcantracto�)�orPower-of�Aftomey''(for'the owner)would"be someone with notarized letterfrom owner authorizing same
<br /> rn��.t)VEi2°.TH�COtiMTEFt;,PERMt7"f.1NG.k... (�PY af=coatractzrequlred) . . _
<br /> �<='�Reioofs�if;sfiingles � Seuvers Service Upgrades AJC Fences(Plot/Survey/Footage) ,
<br /> Diivewrays-Nat aver Gounter.if an pubtic�roaduvays.�:needs'RtOVN�- _�* - ' �
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