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City of ZeohY[hU\S Permit Application Fa»83-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pe mitting dSt2 <br /> Owner's Name I Ow ier Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> F,oo Simple Titleholder Address <br /> JOB ADD L <br /> RESS Fss(D I IA61 U&5+-rDv-- Zip Viv, 6 11's� IL OT# <br /> SVooNoSioN PARoELOD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewcnwsm ADo/AJ]' F--� a|GN F--1 F--\ DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE �--| � aFR �—� COMM F--� OTHER <br /> TYPE oFCONSTRUCTION r7 BLOCK [--\ FRAME �--� STEELBUILDING SIZE SQ FOOTAGE EIGH <br /> �--1 <br /> IW_9? 2,'5q ff-H TE <br /> ' <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLVMB|mG <br /> =MECHAN|CAL ' $ VALUATION OF MECHANICAL INSTALLATION <br /> =G^S �—�� ROOFING �—\ � SPECIALTY | 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> BViLnER COMPANY 1 2), g.- " Lr\C I <br /> a|oNxTVQE nsm/ansaso LY/ N r��ovm«E^ L_yj NL� <br /> Address License# <br /> ELECTRICIAN >L/RcompAm, <br /> SIGNATURE nEamrsneo LY/_N_ rssounnsx L�7 N I <br /> Address License# <br /> PLUMBER > CoMp/wmr <br /> SIGNATURE RsG/srsnEo I 11 N I 'Fsscunnsx L_YI2 _J ~� <br /> Address .6, 73mr RZ-11 T( 33617— <br /> License# <br /> ,MECHANICAL' COMPANY proq" 'IQ <br /> SIGNATURE REGISTERED ^ L-f _N_\ pseounnsx 2 /NL� <br /> Address � Uunneo# <br /> OTHER COMPANY maymla Pad <br /> SIGNATURE nez/orEnso L�L�_�_] pssounns^ L_lJ�L_J°/ <br /> ' <br /> Address Uoonoe# <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(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects ' <br /> COMMERCIAL Attkh(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(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Foci!itioo&1dumpnter Site Work Permit for all new projects.All commercial require m* onts must meet compliance <br /> SIGN PERMIT Attach C2>sets of Engineered P|ann. <br /> "°PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> |f over$zmoo'a Notice v,Commencement isrequired. (ACup8radmm over*7soo) <br /> ' <br /> � AQentUbrthaconbaotodorPcmmrofA8omm�(forthaovnor)voudbeeomeonewithnotahzod|ettn from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rnmcfsifshingles Sewers Service Upgrades A/C Fenceo(PbttSumey/Fnotago) <br /> Driveways-Not over Counter ifon public madpaym..nuedmROW <br />