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OM780.0020 City of Zephyrhllis Permit Application FOX-813-780.0021 <br /> Building Department <br /> Data Received <br /> a a a a a a a a Phone Conlaolforparm2 IL <br /> j� aeaaa <br /> Owners Nama qr•-. H Q Q. or Q. Owner Phone Number <br /> Owner's Address ,)( o ho Ak.w L r YJ Owner Phone Number & <br /> Foe Simple Titleholder Name Owner Phone Number " <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS3915H QLp LOT# <br /> SUBDIVISION ft0i 11000��PARCEL ID# ODDO" C7 SO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> ® INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK Re Rgr7 31rli <br /> ry p I <br /> BUILDING SIZE Sq FOOTAGE 1 p O HEIGHT <br /> •rrccrrctrrrsaz rrccrcr;•c�crrcrs-cccrrrrrrc�rrr�z-rccrrrrrrccccrrrcccc;-I <br /> =BUILDING NO,h !7 (J,C VALUATION OF TOTAL CONSTRUCTION q <br /> =ELECTRICAL $ l J t o AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ra <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> t-- k <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> ----------------- <br /> Y- <br /> BUILDER COMPANY oaxfn. " <br /> SIGNATURE /. REGISTERED N FEECURREN J YINI; <br /> Address Llcanse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN <br /> Address License# <br /> k <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURREN LylN <br /> Address <br /> License# lii <br /> P <br /> MECHANICAL COMPANY <br /> s <br /> SIGNATURE F REGISTERED I YIN FEECURREN LYIN I <br /> Address <br /> License# <br /> OTHER COMPANY f' <br /> SIGNATURE REGISTERED I YIN FEECURREN I YIN <br /> 11 <br /> Address License# c <br /> a�i>!fIl�t*llittfafial�lla[laltafaattifl[iillta[i[!lt�1lfa![!t[[[alafi <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 dale.Required onsho,Construction Plans,Stormwaler Plans wl Silt Fence Installed, <br /> Sanitary Facilities 81 dumpster,Silo Work Permit for subdivlslonsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R•0•W Permit for new construction. ! <br /> Minimum ten(10)working days after submittal date.Required onsho,Construction Plans,Slormwoler Plans w/Sill Fence Installed, <br /> Sanitary Facilities 81 dumpsler.Slta Work Permit for all new projects.Ali 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, tj <br /> Owner&Conlraclorslgn back of application,notarized <br /> If over$2800,a Notice of Commencement Is required.(AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Atfomoy(tor the owner)would he someone with notarized letterfrom owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> 9 <br /> Rereofs if shingles Sewers Service Upgrades AFC; Fences(PIOUSurvoy/Footago) <br /> rlvaways•Nol over Counter it on public roadways..needs ROW <br /> g� <br /> i <br />