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elaTeaaa2g City ofZephyrhilis Permit Application Fax$13-7602t <br /> Building Department <br /> ` Data Received Phone Contact for Permitting "AGICV 5 <br /> Owners Name Owner Phone Number <br /> Own Des Address Owner Pho..Number <br /> Foe Simple Titleholder Name Owner Phone Number 1 �� <br /> FeeSimple Titleholder Address <br /> JOBADDRESS l Q 1 LOT# 1-0—'=-1 1C) <br /> SUBDIVIStom i\4-e if GL�C� � PARCELIDa <br /> IaeTAVdfia FROM PROPERTY7Amr S071aq <br /> WORK PROPOSED NEW CONSTR[ ADOIALT SIGN Q OF-Moustr <br /> INSTALL F-1 REPAIR <br /> PROPOSED USE SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION p BLOC.rc^-�= FRAME STM Q ` <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SR FOOTAGE HEI04T <br /> =1UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL (5 AMP SERVICE Q PROGRESS ENERGY r—j W.R.E.C. <br /> 5:2FLUMSING S <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION 2 77 <br /> ❑m ❑ ROOFING ❑ SPECIALTY p OTHER !!J <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY = <br /> SIGNATURE REGISTERED t..Y N I Fee CURREI Y I N <br /> Address J License# <br /> ELECTRICIAN COMPANY i <br /> SIGNATURE REGIVERED Y I FEECURRER Y!N <br /> Address Ltcelasa#�� 1 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED FRCURREs 'fs R <br /> Address 7 tloensott .` ! to <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERER I Y/N I FEECURRB I YIN <br /> Address LtcMtsa# ��� <br /> OTHER COMPANY t <br /> SIGNATURE REGIUMED I YIN FEECLWO !M <br /> Address License# <br /> t [lit [ tit [ lit [ . ttttttt [ t [ t � � �� [.ttttttttttt [ itt [ [ [ tti [ t [tt [ [ [ [ t [ [[ [ [ It <br /> RESIDENTIAL Attach(2)PW Piatcs;a)seta of Building Ptanw.(1)set of E nergy Forms;R-O-W Permit tar nemvvconsbutdlon, <br /> Mirdmum ten(10)w0dng days after submittal Cate. Required cnsfte,Construction Plans.Stormwater Plans wl Sdt Farce Instated. <br /> Sanitary facilities&1 dumpster:Site Work Permit for subdivislonanarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a We Safety Page:(1)sat of Energy Forma.R-O-W Permit for new construction. <br /> Minimum ten(10)womldna days after submittal data. Required onslte.Oonatnrctlon Plans,Stormwater Plana wl Sit Fence instated <br /> Sanitary Factities&i dumpater.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(oral[NEW construction. <br /> ' . . .ii.ri f-... . .... . ' i . t i i.i t.lilt. ti�. . . . . .iat�iiiiiSi# � <br /> Dlrectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if aver,52600,a Notice of Commeneoment is required. fAfC upgrades over$960e) <br /> ' Agent(for the contractor)or Paves of Attorney(for the aamer)would be Someone Writ►notad2Gd letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rercafs if shingles Seam Service Upgradoe Alt; Fences(PlotlSuiveylFactegs) <br /> Driveways-Not*war Counter if an public madwaya..needs ROW <br />