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813-78U-UU2U City of Zepnyrnills Permit AppllCatlOn rax-ups-irru-vuzi <br /> Building Department <br /> Date Recely,Sd y <br /> I-Phone Contact'forPermltting <br /> Owner's Name �rJ - �e Owner Phone Number , <br /> Owner's Address C 14 Owner Phone Number <br /> Fee SimpleiTitleholder Name- F3 8 t e- v����c OwnerPhono Number, '�- <br /> Fee Simple?Titleholder Address <br /> JOB ADDRESS <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAKNOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT LJ SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE SFR Q -COMM = OTHER <br /> TYPE':OF CONSTRUCTION BLOCK • Q_ 'FRAME = STEEL <br /> DESCRIPTION OF WORK k <br /> St 7 3C� . Fj " <br /> BUILDING;, IZE SQ FOOTAGE ; HEIGHT <br /> i <br /> BUILDING $ 6t VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R,E.C. <br /> =PLUMBING $ J <br /> U ^ / /r� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / /J` vr, <br /> =GAS ® ROOFING Q" SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .BUILDER COMPANY " <br /> SIGNATURE REGISTERED Y'/ W ' FEE CURREN <br /> Address License,# <br /> 'ELECTIRCIAN COMPANY <br /> -.'SIGNATURE REGISTERED Y/ N . <br /> Address - i License=# <br /> - - i <br /> P.LUMBER.1., 'COMPANY <br /> SIGNATURE' REGISTERED Y/-,N-: FEE CURREN, LLYLN . <br /> Address License#: -;. . <br /> •'MECHANICAL COMPANY <br /> SIGNATURE'..'' - REGISTERED Y'/ N FEE.CURRE�. Y/N <br /> Address';< LiGcense.#. <br /> OTHER- 'COMPANY <br /> SIGNATURE°;;:;; ,o REGISTERED Y/.N FEE:CURREn'' Y/N <br /> Baas 1,•Trj �1- ..., r. ( L�1 y' - License L°CC 13-2-71�� <br /> s;RESIDENTIAL?t,< Attacfi"2, PIoEiPlans 2 a$ets of Buildiri Plans; :1 set of Ene Forms;R-O=W Penrilt for newi;constiuction,'. <br /> —. <br /> W>Minimum;,tent(,1Q)tworking,days_afte�sutirrii talaate:Required onsite;ConsiAl on`Plans,%Stormwater Plans w/Silt Fence.installed, <br /> Sanitary,,,Facilities 8cati;.dumpstel,S[fe W 'projects':;°:'',=i <br /> COMMERCIAL Attach;(2)complete'sets'of`Buil8ing Plans plus'a LI a Safety Page;(1)set of Energy Forms.R-0-W Permit foe new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary-Facilities&:1 dumpster.Site Work Permit fo�-all-new•oi ots.All commercial requirements must meet compliance <br /> :SLGN PERMIT Attach(2)sets;of Engineered Plans:`l,4; ":-:. . <br /> >: ""PROPERTY SURVEY required,for,.aILNEW.,construction._',. <br /> ------------------ <br /> FIIP:out`application completely.—' <br /> ;Owner'&Contractor sign:back of application,notarized <br /> "If over:$2500;.a Notice.of:Commencement is required. (AIC upgrades over$7500) <br /> Agent(forthe contractor)`or,Power,of Aftomey'(for'the owner)would•tie someone with notarized.letter from owner authorizing same <br /> OVER'.THE COUNTER PERMITTING,. ;..:'.:..(copyof=contrachrequired) " <br /> roofs if;shingles 'Sewers Service Upgrades A/C . Fences(Plot/Survey/Footage) <br /> 'Driveways-Not over Counter if'on public'roadways:needs`ROW <br />