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Uity of <br /> -T-Y-r-T'T I FIb2g Jb� w)I-M-1aZephyrhi lls <br /> Permit <br /> rmit <br /> A p l icA aAt ioI nI Fax a.x.81.3-.7 <br /> 8.0-.00.21 <br /> Building Department <br /> Date Received 5a & 6AAr .c6im <br /> Phone Contact for Permitting <br /> Owner's Name z Ow er Phone Number f, <br /> Owners AddressUT � m Ow er .Phone Number <br /> Fee Simple Titleholder Name Owl,er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION Q V tAY ARCEL ID# 140 - <br /> ((OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q 0 DEMOLISH <br /> Ef INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> J iTl 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . 1 .. . . . . . . . . . . . <br /> =BUILDING $ IA VALUATION OF TOTAL CONILTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> 6b 5u <br /> =MECHANICAL $ (20ALUATION OF MECHANIC L INSTALLATION <br /> GAS 7� ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS I - FLOOD ZONE AREA OYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - 1-4-- - - - - - - - - - - - - - - - - - <br /> COMPANY ?_ I nr- <br /> SIGNATURE . <br /> BUILDER REGISTERED Y/ N FEE CURREN L <br /> 1 ���...///�`_ _yLN_J <br /> Address Fi--7(,,o2 T-elewm-N- .74w,, License co';9()� <br /> ELECTRICIAN COMPANY lec�ie <br /> SIGNATURE REGISTERED i N FEE CURREN <br /> Address Sl-,�Jna: 3 License# kj) o OS2 I;- <br /> PLUMBER COMPANY L <br /> SIGNATURE o REGISTERED Y/ N FEETCURREN, '7/N I <br /> Address 440) 2E( 10M �M":3 61 License# CF-C <br /> MECHANICAL COMPANY O�b 15:n\0 <br /> q" _ , R, <br /> SIGNATURE REGISTERED Y/'N FEE CURREN\J Y N <br /> Address F51b D-S�,_, License# <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED <br /> I &q Y/ N <br /> FEE C UIR.REN Y/N <br /> Address License# Cc Z� -1 <br /> I <br /> IIV1IIIIIIIIII IIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; -O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large rosl1ects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)se Energy Forms. R-O-W'Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Ciruction Plans,Stormwater Plans W/Silt Fence installed, <br /> Sanitary Facilities&I 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 /> Directions, - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with n tarized letter from owner authorizing' same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foot,ge) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />