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513-7aD-UU20 City of Zepnyrnilis Permit Application rax-rs,s-foU-Uuz' <br /> Building Department <br /> Date Received ' <br /> �'. Phbne-Contact,for'Pennitting: <br /> Owner's Name r c� Owner Phone Number <br /> Owner's Address: Owner Phone Number ' <br /> Fee Simple Titleholder Name•:f OwnerPhone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION. PARCEL-ID# <br /> (OBTAIWORK PROPOSED NEW'CONSTR' ADD%ALT '0 SIGN FR�-OM PROPERTYSAX NOTICE)� DEMOLISH <br /> e. INSTALL :•- . :REPAIR <br /> PROPOSED;USE- Q SFR 0: -COMM. 0 OTHER <br /> TYPt OF-CONSTA`6CTION' 0 BLOCK Q *RAME Q. ,STEEL 0 <br /> DESCRIPTION`OF-W6kK I <br /> -BUILDINGsSIZE SQ'FOOTi4GE HEIGHT <br /> QBUILDING $ _ c VALUATION'OF TOTAL CONSTRUCTION <br /> =ELEC,TRICAL $ v 7 AMP SERVICE Q PROGRESS ENERGY Q' -W.R.E.C. <br /> t ' <br /> [PLUMBING $ - <br /> i <br /> i <br /> =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION <br /> - i <br /> ;GAS 0 ROOFING Q SPECIALTY. O OTHER <br /> FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> :BUILDER: _ COMPANY h - <br /> SIGNATURE REGISTERED Y•/ N:' FEE•CURRED Y'/N, <br /> Address -'License <br /> ELECTRICIAN'1 „. COMPANY <br /> SIGNATURE REGISTERED Y/ N • FEE CURREN Y/N ' <br /> Addr®se` ' License# :. <br /> PLUMBER;, COMPANY <br /> 81GNATURE `REGISTERED Y-P& kj FEE:CURRE�. Y/;N <br /> Address. ,License'#. <br /> '•­.MECHANICAL'" COAAPANY <br /> SIGNATURE""" $ 'REGISTERED WIN N FEE CURREN <br /> Addt4ss�.�.:'-17 License.# <br /> ;OTHER`.•`: "COMPANY <br /> ;.:.^. REGISTERED '•Y/:N- FEE"{'.URREN Y I N <br /> GNATU,RE <br /> a.'o M:;� . <br /> RESIDENTIAL. :4ttac' 2 .Pidf:Plans:2 sets`o Buildin 'plan's :1' set of Ene F`orms R O<1N,Perrnit 4 rdev�; nstivction; ' <br /> u. ten' 1 Q•, `o in'kda �aftersubmjltai date::Re uired:'onsite;Gonstniotion Plans,`.Stom�water Plans w/•Siit Fin ce installed; <br /> r• -,' Sani cIles&Y1•dum,.P_s,.te_f�,,•S. if1 3sWb'":.P:e_r'mmJLt':ifoe­ <br /> COWMERGIAL Attac2)compes oBildingPlansplusa` 'Ssaufbetdt•yCS„PIs.aiog,ne s;./'l('a1.i)se„e<Pt roo.f1e.E.c tesrgo`'m1-s. <br /> - <br /> R-O-W Permit for new construction: <br /> Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenpe.jnstalled,. <br /> Sanitary'Facilities.&1 dumpster.Site Work Permit fog all.'new projects:All commercial requirements must meet compliance <br /> <- <br /> :;SIGN'PERIWIT "Attach•Osets;glEngineeredPlensi_:::.;_';,:• _; :.s..::• ....:,':. <br /> 'PROPERTY SURVEY regulr�•alI,NE•W construction._:: <br /> I` FIIIout`application.completely. <br /> Owner'&Contractor.%sign.-back ofapplication,notarized <br /> ` 1f:pver'$2500;.a-N6tiee:of;Commencement is required. (A/C upgrades over$7500) <br /> Agent'(for°the.con`tractor)cor PoWer.,of Attomay'(for'ttie'owner)would'tie someone with notarized.letterfiom owner authorizing same <br /> OVER'THE COUNT•.ER P ,I,tflAliTINC,�m:.,::::......(copy-of contract.required). ', <br /> Reioofs ffsfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DdVewa s-Not over Counter ifon- ubile roadwa'§;-iideds"RbIN' <br />