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I <br /> 813�78MO20 City of Zephyrt.:;i:.: : mit Application Fax-613-7e0-0021 <br /> Building Departs l6nt c <br /> Date Received ^ Phone Contact for Permitting <br /> Owners Name ,"• 4,Mr, Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ) LOT# y C-t <br /> SUBDIVISION Ic clf� PARCEL IDA <br /> (oErrAINED FRom PROPERTY TAx NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT = SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK^�= FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL_ S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> N2fP'LUMBING S <br /> =MECHANICAL $ l!V VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN LI.LN <br /> Address 7 License!f <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LILN <br /> Address License# <br /> PLUMBER x COMPANY <br /> SIGNATURE REGISTERED FEE CURREN I Y/ <br /> Address <br /> License y 01 O <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREII <br /> Address License q <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREP Y!N <br /> Address License fT' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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 /> 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2500,a Notice of Commencoment is required, (A/C upgrades ovor$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner eutnorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.,needs ROW <br />