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a73-7e0-0020 city of Zephyrh!IIS Permit Application <br /> Building Department <br /> 4 <br /> Date ReceOved �—l,u��,� <br /> J: Phone'Cvntact�for'P®rmitting_< ` 2 ' — (o <br /> Owner's Name r Owner Phone Number �1 <br /> Owner's Address Owner Phone Number'.` <br /> Fee Simple Titleholder Name:'• Ouirner'Plione Number'. <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Z r �D �• LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED.FROM PROPERTY.TAX NOTICE) <br /> WORK•PROPOSED. .. NEW CONSTR' ADD%ALT SIGN . ] DEMOLISH <br /> F <br /> B. INSTALL. e -REPAIR <br /> PROPOSED USE. 0 SFR 0: `"COMM Q OTHER <br /> TYPE'OF CONSTRUCTION _0 BLOCK = "FRAME. Q. STEEL ._. <br /> DESCRIPTION OF W6RK1 JU Li <br /> -BUILDING SIZE 2 Z• SQ FOOTAGE. :IvGHT_] <br /> BUILDING VALUATION'OF TOTAL CONSTRUCTION <br /> �n <br /> i <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C." <br /> =PLUMBING. $ <br /> =,MECHANICAL• $ VALUATION OF MECHANICAL.INSTALLATION <br /> ROOFING 0. SPECIALTY. OTHER. <br /> FINISHED'FLOOR ELEVATIONS FLOOD ZONE AREA . =YES NO <br /> ' . <br /> :BUILDER i COMPANY <br /> SIGNATURE REGISTERED Y'/ N;.:' : FEE:CURREh Y/N. <br /> Address License,#' <br /> ;.`-ELECTRI,C:,IAN. N; 'COMPANY <br /> 'SIGNATURE REGISTERED Y/ N FEEiCURRER., . ."Y/N. J . <br /> Address ' - :`License#, <br /> PLUMBER,, COMPANY;;:: <br /> SIGNATURE' 'REGISTERED Y/-N:_ ? FEE CURRE.N Y/:N <br /> . . _ <br /> Address. License*,. <br /> :.MECHANICAL :COMPANY <br /> =SIGNATURE'°"' :, .71 <br /> REGISTERED Y/:N - :,.: FEE;C.URREM .': Y./N <br /> 71. <br /> Add . '.:i; , . ..; <br /> License.#, . <br /> ;`OTHERY e= COMPANY <br /> '. .5 ONAT-URE_a REGISTERED Y/.N FEE CURREK Y/N <br /> Address;' s.;:r-r::; .rT. p` 5:'t ;F,.F: - (+:. 3 '.,:..: _ License'# <br /> RESIDEN! ;,•., `A c'1"3j iRlofPlans ,2' sets of Buiklin'"pla s``1 :set ofEne %'F s-R 0 P 1 "rn uv: stiuc•on <br /> n,..l._._, .:_ (_) r.j_). . . .. g, n O r9Y.: orm W. .erm t0 e. .con tt <br /> {nunlgt@n(1Q)a ojlcing.days afte) ubrri�ital: ate,:..Required onsite,Con§trucUon'Pians :Sto[mwater`Plans w/S(It Fenc6installed; <br /> Sarlita' ' <br /> C.OIY9MERCIAL AttdW(2)'complete's®ts'ofBblldini�P dhari plus a U d'Safety"P'age;`(1)set of Energy Forms.R-O-W Permit for new construction.- <br /> ; Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,_ <br /> SanitaryFacilities&1 dum star.Site Wo. Permitio all-new: d ectS.All Commercial re w—Ir ents,must meetcom compliance <br /> P _ . P J q p <br /> ?,r$LGN:PERINIT AtfaoW(g sets of Engineered <br /> PROPERTY SURVEY,reguiredfor.all:NEW construction:_.. <br /> ------------------------ <br /> 'Fill'out,applicaUon•.completely. <br /> Owner•&'Contractor'sign-back ofappllcation,notarized <br /> 4f.over:-'$2500i.a-Notice-:of;Commencement-is required. (A/C upgrades over$7500) <br /> r" ent(for°th'e`'contractor)!or'Power.,of`Attorhdy°for'the owner)would'tie someone with notarized.letter from owner authorizing same <br /> 'i01LERYHE.COUNi ERPERi1Al1Tl_NGz. - - c0 of<contractc wired <br /> ;Reroofs-ffafiingles _ `Sewers Service Upgrades = Fences(Plot/Survey/Footage) <br /> Dlveways-Not over Counter ifon public`r'oadways.neetls ROiIV <br />