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818.780A0O Application of Zephyrhi(Is Permit Applicon Fa*sta Taa-0a2t <br /> 13uMvia Depart n rst <br /> Da>EREeefvod ? Phan#ContttctforPermittin <br /> T,rn1-r7'1'i-f <br /> Owner's Name owner Phan#Number <br /> Owners Address Owner Phone Number I <br /> Fee Simple Titleholder Name Ntf^:>rr 1 <br /> Fee Simple Titleholder address c <br /> JOB ADDRESS ? l I.OTB <br /> SUBOMSION 1�t E'crG 4� PPJ SL IDR <br /> ta9TAIII20 FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED } NEW C016TRR AWALT 1J SIGN ® DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE _' SFR GI muse <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> a <br /> DESCRIPTION OF WORK -�- <br /> BUILDINII SIZE SQ FOOTAGE HRiQNT <br /> QBU). . . la VALUATION OF TOTAL CONSTRUCTION <br /> [—IELEcTFu At (a""" AMPSERV:GE Q PROGRESS ENERGY Q W.R.B.C. <br /> [PLUMBING 5 <br /> aq <br /> QMECHAMCPL $ VALUAT:ONOF MECHANICAL INSTALLATION <br /> =GAS ) Q ROOFING SPECIALTY r-7 OTI R <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> eU1LO.°R COMPANY <br /> SIGNATURE �Y REGISTERED YIN FEE CURREN YIN �� <br /> Address License# <br /> ELECTRICIAN �I COMPANY I <br /> SIGNATURE 1 11 REGISTERED I YIN FEECURR"REN�"Y!N <br /> Address i LiCensa#i <br /> PLUMBER � COMPANY G�.CJsRC C. <br /> S� t c <br /> SIGNATURE iiitsstEl3fD l! `� FEECURREN YIN <br /> Addrees <br /> License# r, <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURRRR'ENN Y t N <br /> Address k License#{ <br /> OTHER COMPANY , <br /> SIGNATURE ! REGISTERED YINN FEE CURREN Y 1 N � <br /> Cuidrese Licenseft <br /> IlIIIIIIr11e111111111Y1r111111t11111rllilltllllllll !! Itl1l1ll ! ! ! t ! ! <br /> RESIDENTIAL AttaCii )F'fat Flans,C1j sets OT tsuadtng I'tenS;(1)Set ai tnorgy harms;F1 Li w Hermit for new CanstNCtl7n, <br /> Mnimum ten(i0J woridng days after submittal date. Recuired ens2e.Construction Plans,Stem:water Plants Silt Fence installed, <br /> Se <br /> fmu Facttitias 8/dumpstar,Sife Work Permit forsubdrv{sions/large projects <br /> COMMERCIAL Attaeh`?(2)complete sass of Build"Pie _plus a Ldo Safely Page;(1)set of EMMf Forms.R4)•W Permit for nowednsttuctlon. <br /> fJlt'I Um ten i10J wori' days after subrn ml data. Required onsfts,Conszmctan Plans,Stomttaater Plans wl SIR Fence installed, <br /> Be arY Factlitles a 1 dumpstar.Sate Wark Permit for all nett proyects.Ail commercial tequimments must mw compliance <br /> SIGN PERMIT Attach"()sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required far. NEW cansttuchan. <br /> . . . . . . . . . .. .,. . . ._., . . . . . . . . . . . . . .. . . . . . . . . . . . <br /> 4ltetttons: <br /> e Fin Out 2WHaa mn G.:'tYFtz3�tj. <br /> Owner&Comraetorstgo beck ofapplmation.ratenzed <br /> Hover$2500,a Nadi a of Commencement Is required. (AIC upgrades over$7800) <br /> �* Agent(for the contractor)or Pami of Attorney Mrtne owner)would be someone with nctarrzed letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (COPY of Contract required) <br /> Retools If shingles Sej%wrs Saws Upgrades A/C Fences(RoVdurveylFootage) <br /> 011ueways-Not over Counter N on public roedthays..neeas ROW <br /> tt <br />