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Sta'-78&LOM City of ZephytffiFts Permit Application Faxst�7so�2t <br /> Building Department <br /> gate Received Phone Contact for Permitting <br /> a a a I a a a a a€aaa <br /> Owne's Name -Thsb N 0&__'rSr_F Owner Phone Num r ` y ®�.9:Z <br /> Owner's Address ® Q 3 41% � Owner Phone Num <br /> Fee Simple Titleholder Name Owner Phonehlumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ® p ry L ®LOT# qr— .� <br /> SUBDIVISION C O PARCEL ID# O U` 6 D Z Q ®D® _09 5OD—®d 3 0 <br /> (OBTAINED FROM PROPEFZTY TAX NOTEM <br /> WORK PROPOSED ® NEW CONSTR a ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK•• = FRAME = STEEL = <br /> DESCRIPTION OF WORK JJ� QZa <br /> WILO NG SIZE ✓ 0 SQ FOOTAGE. "9/® , HEIGHT <br /> "Vile.X <L'AE'ETi i'sELE-LT <br /> '€"i'�'X—�'¢'�—C"�"L"L-rE'7E"S'>E>C�'£'��"E.-3E'rE�'�'[7E'C£'CCZ <br /> UILDING $ !//- G VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> =PLUMBING $ tj! �J 'n7, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION// <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 1 COMPANY <br /> ti <br /> S ATURE ® � e� REGISTERED YlN FEECURR04 ^Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y(N FEECURREN Y!N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN LYLN <br /> Address I License# <br /> TTII9ER COfi1PANY <br /> SIGNATURE REGISTERED Y/N FEECURREN Y I N <br /> Address License# <br /> ■)Ili'sIaII I1€.11211112aILIII ItI1t.lt191121111ataIaIifIIII IIIIfIIaIIIaI IaIIIt <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 date.Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(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(10)working days after sulm iiial date_Required onsite,Construction Plans,Stormwater Plans vA SiB Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All 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. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copyo(contractrequlred) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />