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City OfZeohV[h\(\s Permit Application Fa»8 3-7DO-0O31 <br /> Building Department <br /> Date Received Phone Contact for Permitting eauc�aink_MCAI+or�m, com <br /> Owner's Name �nC Owner Phone Number <br /> Owner's Address rz,(Pw".Tf tf Co M D!c-apilon 33�1 3�- Owner Phone Number <br /> Fee Simple Titleholder Name Pak- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> F11 I <br /> 1 , <br /> SUBDIVISION7p/�uz���# <br /> . (OBTAINED FROM,°",="..TAX NOTICE)' <br /> WORK PROPOSED mewoomsTn ADD/A]� �--� SIGN [--� [--1 DEMOLISH <br /> E5 INSTALL �_] REPAIR <br /> PROPOSED USE �--| oFR [—� COMM F---| oTHER <br /> TYPE OF CONSTRUCTION F7VF 8UD0( �—1 FRAME F---1 GTEEL <br /> BUILDING SIZE nQ FOOTAGE HEIGHT <br /> ' <br /> --FlaU|��Ng <br /> �--/ lo low <br /> VALUATION OF TOTAL CONSTRU[Tk]N <br /> =ELEC[RCAL AMP SERVICE �--1 PROGRESS ENERGY �—� � M\R.E/C. <br /> =PLUMa\NG <br /> =MECHANkCAL $ C-Z)0 VALUATION OF MECHANICAL INSTALLATION=o/xS ���' ROOFING F—� � SPECIALTY [---1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE nsomrenso <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> Aa SIGNATURE nso/orsnso ` F��uAnne� — <br /> Address Licenmo# <br /> PLUMBER COMPANY <br /> SIGNATURE nsa/snsnso <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED «— <br /> Address Unenoo# <br /> OTHER COMPANY <br /> a|GNxJuoE n�a/��nso --- <br /> . FEECURREN —__-___ <br /> Address Ucenso# <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(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1dumpoter Site Work Permit for subdivisions/large projects ' <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus aLife Safety Page;(1)set of Energy Forms.R,O-W Permit for new c*onotructinn. <br /> Minimum ten(1o)working days after submittal date.'Required onodo.Construction Plans,Stonm*mtar Plans v/8i}t Fence|na�\|ad. <br /> Sanitary Facilities 8 Work Penn�for aUnew pn�o�s./A|oommnn�o|require me��must m���ompKanma <br /> SIGN PERMIT Attach(�)sets of Engineered Plans. <br /> °^"PRJPERTY SURVEY required for all NEW construction. ' <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized -- <br /> If over$u5oo^a Notice qf Commencement Isrequired. (AIC upgrades over*T5VV) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would bn someone Withnotarized letter from tb �n ^ <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fanoos(P|uhSumey/Fnmago) <br /> Driveways-Not over Counter ifon public mmdvayo..needoROW <br />