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813-70MO20 City of Zephyrhil{s Permit Application Fez e13 T8two2t <br /> Building Department 1 <br /> DateRaceived Ptunne Contact for Permi It �—"t omv <br /> !` ^ <br /> Ownses Name •,t•._. �`_ Owner Ilona No bar <br /> owners Addtass Oemer hang Number <br /> Feo Simple Titleholder Name .�.� Owner hone Number <br /> Fee SimpleTitteholderAddress <br /> JOBADDRESS LdTd <br /> SUBDIVISION ,kg rr(_: ,ao PARCELION <br /> IOBTAUM FROM PROPERTYTAX rrotraq <br /> WORK PROPOSED N£w t CNSTit 8 ADDIALT =� Si N Q M DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR = Comm [� OT ER <br /> TYPE OF CONSTRUMON = BLOCK FRAME S <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE H itT -- <br /> t [�BUILDINO f VALUATION OF TOTAL CON UCTION <br /> =ELECTRICAL �{$--•, AMP SERVICE PROGRESS ENERGY �] W R_E.C. <br /> t1iMBlNG S .Zc '"'��Q� 1t� <br /> =MECHANICAL VALUATION OF MECHANICAL I STALLATION <br /> a <br /> s <br /> ROOFING 0 SPECIALTY p a ER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE I YIN FEECURREt Y t N <br /> Address Ltcettse#t t <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO I YIN FEECURREA I YIN <br /> Address <br /> PLUMBRR COMPANY <br /> SIGNATURE REGtS1ERED FEECURM YIN <br /> r Address Ltcatsselic� � �lct7 .1 <br /> MECHANICAL COMPANY <br /> 'SIGNATURE REGUAIM D I Yri N I FESCuaRB. I YIN <br /> Address �( Ut:¢nse4t <br /> OTHER ..._. } COMPANY <br /> i SIGNATURE S f REGiaT M I N FEECLWJM t N <br /> a Address Licenser!! 1 <br /> 11111111111 Ile I $ II $III III III IIIIIIfIfI III II IIitiiII111111itIit111.1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Enew Forms,R-0 Permit for new Construction. <br /> Minimum ten(ICY)wmWng days after subMittal date. Required ensue,Con on Pions,Stormwater Plans w/Silt Fence Installed, <br /> °j Sanitery Facilities&1 dumpster:Site Walls Permit for subdivlsionstlarge prole <br /> COMMERCIAL Attach(2)complete aeta of Building Prang plus a Life Safety Page;(1)set of orgy Panne.R-O-W Permit for new construction. <br /> Minimum ten(10)wortdng days after submittal date, Rsgvlrad onaite,COnettu n Plana,Sterrnwater Plane%W S8t Fenno installed <br /> Sanitary Facilities&1 dumpater.Site Work Permit for all new pmjadta.All cam arrial requirements must meet compliance <br /> is SIGN PERMIT' Attach(2)sets of EnSUtemd Plans, <br /> —`PROPERTY SURVEY required Coral{NEW construction. <br /> Directions: <br /> Fin out application complately. <br /> Owner&Contractor sign back of application,notadaed <br /> tf over$tteee,a Nottco of Commememord,(e requitod. (AtC W*rndco over 87G00) <br /> Agent(forthe contractor)or Powerof Attorney(tor the owner)would besomeonemM note letter item owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remora if shinptos Sewers Salvfee LpIlmdos A/C Forces(Plausurvay/Footege) <br /> Oriveways•Not over Counter Ron public roadwaye,.needs ROW <br />