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813ae0-ou20 City of Zephyrliilfs Permit Application- Fax41134e0-0021* <br /> Building Department <br /> Date Received _ c'- <br /> �Phone Co tae fof.Pemtittin J <br /> 3 u5 Q <br /> Owners N me �� �� 5.. er hone Nuelber' l S —(0 0� V�V <br /> Owners' dress Lu aS f it . Owner Phone Number <br /> Feo Simple Tlfleho Owner Phone Number <br /> Fae Simple Titleholder Address # <br /> /�� 2 /./. <br /> JOB ADDRESS D (.G U n: 5 �Cf f IIS F, J ST LOT III <br /> SUBDMSION PARCEL IDff <br /> (ORTAINED.FROM PROPERTYTAX NOTICE) <br /> "WORK PROPOSED NEW CONSTR ADD/ALT. SIGN = 0. DEMOLISH <br /> INSTALL R <br /> ' : .REPAIR <br /> Al <br /> PROPOSED USE SFR : " COMM' OTHER, <br /> TYPE OF CONSTRUCTION Q'. BLOCK Q FRAME. ,Q. STEEL, <br /> DESCRIPTION OF WORK O TOO W. l.K f I t�Q. O L.I to V �' <br /> BUILDING SIZE y SD FOOTAGE Jp O HEIGHT O <br /> =BUILDING $ Q QO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE = PROGRESS ENERGY Q W.R.E.C:. <br /> =PLUMBING $` <br /> =MECHANICAL $ VALUATION OF MECHANICAGINSTALLATION <br /> =GAS' 0 ROOFING [ SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS: FLOOD ZONE AREA DYES O <br /> . <br /> ,BUILDER04 <br /> SIGNATURE REGISTERED .' 'Y/N.,` FEE CURREN. ` , Y/N <br /> Address .. License#•: ' C • 04`i <br /> ELECTRICIAN. COMPANY. <br /> SIGNATURE REGISTERED. Y/N FEE CURREN . Y/N. . <br /> Address. License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED' YIN: FEECURREN <br /> Address License# <br /> MECHANICAL. COMPANY <br /> SIGNATURE REGISTERED. 'Y/.N, FEE CURREN <br /> Address License# <br /> .OTHER . COMPANY <br /> SIGNATURE REGISTERED.. Y/N MECURREN Y/N.' <br /> Address- License# <br /> B.It.i'i S'l II It 1t.i 2.1-I'i t;A.1:f E B 11 E 11111 l[11&hf.E.&°0 t'1 E 3.I.1:S 3:1 B E.a.S°5 S -E•IF'-1: ;B:E i 41"'t1 S S S_x.ri• <br /> .RESIDENTIAL Attach(2)PIo1 Plans;,(2)sets of.Building Plans;(1)set of Energy Forms;R-O-W Permit for new.constnicction, <br /> Minimum ten(10)working days after submittal date.Required onstte;Canstructlon Plans,Stormwater.Plans w/Sift Fend.Installed,. <br /> Sanitary Facilities&1.dumpster,Site Work Permit for•subdibisions/large projects <br /> COMMERCIAL Attach(2).complete gets of Building'Plans•plus a Life Safety Page;.(1).set of•Energy Forms.R=O-W.Permit for,now Construction.'. <br /> Minimum ten(10)working days.after submittal date.Required onstte;Constriction Plans,Stonriwater Plarism/SIR Fence,installed,_ <br /> Sanitary.Facilities 81 dumpster:_Slte Work Pertnit.forall new projects.All commercial requirements must meet compliance. <br /> SIGN'PERMIT Attach(2),set's otEngineered Plans.. . <br /> PROPERTY.SURVEY required forelf NEW,constriction. <br /> Dlredlo�a: <br /> Fili out application completely. <br /> Owner&Contractor sfgn'back of.application;notarized <br /> If over$2500.a Notice of Commencement le required.(NC upgrades over$7500). <br /> Agent(for the contrector)or Power of Attorney,(for the,owner)would be someone with notarized letter from owner authorizing ss;rrle. <br /> OVER THE COUNTER PERMITTING, (copy of contract required) <br /> Reroofs It shingles. Sewers Service Upgrades.A/C. Fences(Plot/Survey/Footage) <br /> Driveway's-Not over Counter Won public.roadways.-meeds'ROW <br />