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city ofZ8phY[hUia Permit Application Fax-a 3-78n-0O21' <br /> BuUdingDlepaitment <br /> ` <br /> Date Received 3-1 Z— Phone Contact for Permitting <br /> Owner's Name Owner Phone Number 9(, <br /> �--ownerpbooeNumher <br /> ` <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' <br /> JOB ADDRESS <br /> ' <br /> auaom1SmN m# <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ~ <br /> WORK PROPOSED NEW CONSTR ��� �� SIGN �� �� DEMOLISH <br /> \NnTALL R <br /> REPAIR <br /> PROPOSED USE �--1 SFR 71 Comm F--1 OTHER � <br /> TYPE 0FCONSTRUCTION F-��' BLOCK F-� FRAME �--� STEEL [--1 <br /> DESCRIPTION WORK ffi <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> E?TBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �--��iLECTR��L AMP F--� PROGRESS ENERGY [--1 YY.R£.C. <br /> [=PLUMB\No <br /> -_~�~ <br /> �~ |�EC�AN��AL LUAT|ONOF�E�HAN\�AL\NGT�LLAT|ON <br /> ���� <br /> �--| F� <br /> GA8 ~l ROOFING* F--| SPECIALTY OTHER <br /> 0THBR <br /> ---- --- -�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG No <br /> BUILDER COMPANY <br /> SIGNATURE neo/orsnso L_2 /_N_ rEEcu^:E* L_Y/N_� <br /> AuUmsn License# <br /> ELECTRICIAN CoMpxmr <br /> SIGNATURE nso|STEmEo LYl_N_� pssoonns^ L_l�1�� <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE nsoIaTsneo L��_�_J psEounms^ L� /NL� <br /> Address License# <br /> MECHANICAL ���P�N� <br /> SIGNATUREREGISTERED ` L��� Fssoon�N» L�N � <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE ReG\srsnso LY/_N_ pssuunnsN L_Y/NL_1 <br /> ccAddress Qw Uoenao# <br /> nxxxxx � x � xm'xmxxx � xmx111111111111JxxxxxuxuxuxmxKxIxmxm111111 111n' xxoxxnI <br /> RESIDENTIAL Attach;D Plot Plans�(2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new uonstmctinn. ' <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plan�Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&1 dumpoher;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,O4N Permit for new Construction. <br /> Minimum ten(10)working days after submittal date. Required ono|tn.Construction Plans,8ho Plans v/8Ut Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirbment5 must meet compliance <br /> SIGN PERMIT Attach(2)sets cf Engineered Plans. <br /> . **°PRoPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nfmppUcotion.notarized <br /> If over$usoo'a Notice ofCunomennemootinrequired. (NC upgrades over$75V0) <br /> � <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> R:mofsifshingles Sewers Service Upgrades A/C Fenmas(P|oVSuney/Footm8e) <br /> - <br /> ohve,vays'Nntovor Counter ifon public modways..nnnds RoYy ' <br /> / ' <br />