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e1378D•00zc City of ZephyrhulS Permit Application Fa sty��a aizl <br /> Budding Department G <br /> Date Received Phone Contact for Permitting 1 J� — `*C9 <br /> Owner s Name `` Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titloliolder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1��11 11�/11 I11I <br /> JOB ADDRESS .` LOT <br /> SUBDIVISION PARCEL IDa <br /> (OBTAaIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw cONSM 8 ADDIALT t_.J SIGN = OENIOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR CONIM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK' "�0 FRAME [� STEEL 0 <br /> DESCRIPTION OF WORK Lo �` <br /> BUILDING SIZE C SO FOOTAGE HEIGHT C� <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL f. $ AMP SERVICE = PROGRESS ENERGY W.R EC, <br /> 4 <br /> PLUMBING S osL <br /> ,MECHANICAL; S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r + = ROOFING SPECIALTY'= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA LILIN <br /> k <br /> Address License q <br /> ELECTRICIAN F COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRU Y I N <br /> Address J License ti <br /> PLUMBER C '` COMPANY <br /> SIGNATURE / ' REGISTERED N FEECURRI• LYIN J <br /> Address Loans.' ,� oy%\L 5O- <br /> MECHANICAL COMPANY <br /> SIGNATURE pizi itmeD I YIN rttt tPAt51 7/N <br /> Address Lireme r) <br /> OTHER ' COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURRFJ� Y f N <br /> Address License e <br /> ', r � rerr � rrrrirrrrrrrrrrrrlrrrtrrlrrr11rf11rrlf1lrrfrrlrrrfrlflrrrllr <br /> RESIDENTIAL Attach;(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for newconstruction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Slonnwaler Plans wl Sill Fence installed, <br /> Sanilary Facilities&1 dumpster,Site Work Permit for subdivistwisharge projects <br /> COMMERCIAL Attacht(2)complete acts 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 aner submittal date. Required onsite,Construction Plans,Storrnwaler Plane w/Silt Fence Instal ed, <br /> Sanitary Facilities B 1 dumpster_Site Work Permit for all new projects.All commercial requirements most meet compliance <br /> SIGN PERMIT Attach!(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> i 6 i1I..i11 <br /> Directions: <br /> Fin out application coinpietety <br /> Owner a Contractor sign back of apploation,notarized <br /> If over$2500,a Notleo of Commencement Is required. (P/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autnorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Sefvice Upgrades A/C Fences(PlotiSurvey/Footage) <br /> Orivuways-Not over Counter li On public roadways..needs ROW . <br /> } <br /> 1' <br /> is <br /> i <br />