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813-78G- o2o City of Zephoilis Permit Application Fau-e13aea O21 <br /> Building Department <br /> Date Received E_ i.I. ,&11/ Phone contact for Permitting t�R /O — Q <br /> O.W.Name. G /' (rqJ �r/ dU ��xmer Phone <br /> OwnefsAddress�T Ci lm 61 oluner Phone W.I. <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple nileholder Address ,� <br /> JOBADDRESS t7 & Z ® A� / /��ry /� LOT#/,�,q <br /> SUBDIVISION �- PARCEL(DA i o4! U�✓/0 2W !/ <br /> —// (DIMMED FROM PROPERfYTAX NOTICE) <br /> WORK PROPOSED e NEW CDNSTR ADDlALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION . ' Q BLOCK Q FRAME STEEL = I <br /> DESCRIPTION OF WORK Wes, ?%66hfivE !.G o2 L+" <br /> BUILDING SIZE Sal FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING (5 <br /> 1ECHANICAL Is 5Is VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING SPECIALTY OTHER <br /> =C,4S Q ❑ Q <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> BUILDER I COMPANY <br /> REGISTERED <br /> SIGNATURE I REGi5Tt]tED Y/ N I PEE CURREP Y/N <br /> Address Licensed <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE cuRREr Y!N <br /> Address I License#I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREA Y!N <br /> Address C— License# <br /> MECHANICAL ` � COMPANY %S/RO C 1W_w <br /> SIGNATURE ,rtL REGISTERED I YIN I FEE CURREr Y!N I <br /> Address `T F � L /� IL License# ) I <br /> OTHER COMPANY <br /> SIGNATURE REGSTERED I Y/ N FEE CURREI, <br /> Address License#I <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plat Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new constriction, <br /> Minimum ten(10)rwrldng days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpstar,Site Work Permit for subdivisions/larga Projects <br /> COMMERCIAL Attach(2)canplete sets Of Building Plans plus jr Life Safety Page;(1)set of Energy Farms.R-CYW Permit for new construction. <br /> NBnimlun ten(70)woridng days after sutxrlsttal date. Required onsite,Construction Plans,Stonmwater Plans w/3itk Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW construction: <br /> . . . . . . . - - - - - - - - - -- <br /> . . . . . . . . . II . . . . . . , . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarzed <br /> .lf over$2500,a Notice of Commiumement Is required. (A/C upgrades over$7500) <br /> Agent((or the ca tnlct_)or Power of Attiimey*the owner)wand be someone with notarized fetter from owner authorizing same <br /> ,OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Zervice.Upgrades A!C Fences(PlotlSravey/Footage) <br /> Drtvewa"ot over Cotmter if on public roadways-needs ROW <br />