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City of Zephyrhil(s Permit Application <br /> Building Department <br /> Date Received 40k a <br /> Phone contact for permitting <br /> CQ <br /> Owner Phone Number <br /> own e.Na.: <br /> Owner's Address F7- Owner Phone Number <br /> Fee Simple Intlehold rName Phone <br /> Ii <br /> Fee Simple Titleholdir Address <br /> JOB ADDRESS LoTip lU <br /> SUBDIVISION PARCELID01 52-�3- 94 QUO 0(3o-0 OFIC) <br /> (OSTAltrEDFROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED use SPR ryw-44 OT-r--, <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME Q STEEL <br /> i, <br /> DrSCRIPTION Of WORK <br /> BUILDINO SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . <br /> UILDING i. <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL� AMP SERVICE Q PROGRESS ENERGY r7 W.R.E.C. <br /> &271KU—MBING <br /> =MECFIANICAL S VALUATION OF MECHANICAL INSTALLATION it <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEYA-11ONS FLOOD ZONE AREA =YES NO <br /> COMPANY <br /> SIGNATURE i REGISTERED I YIN FEE CURREN LYIN <br /> Address Llcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> AddressI license# <br /> PLUMBER COMPANY <br /> Z FSIGNATURE hEbbIERED �OLESCURREN YIN <br /> Address Licenset: <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIsrEREe YIN FEECURREN LxLN-J <br /> Address License V <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED YIN FEE CURRENl Lj <br /> Address it License# <br /> RESIDENTIAL Anson,(2)Hot Flans', Sets Or 110cling Hans;(1)set or tnergy Forms;H-U-VV I-ermit 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&t dumpster,Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Aftach�(2)complete sets of Building Plans plus a Lie Safety Page;(1)wof Energy Forms,R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructon Plans,Stommater Plans wf Silt Fence Installed, <br /> Sanitary Facilities&I clumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SION PERMIT Attach,,(2)sets of Engineered Plans. <br /> I PR�FPSRTY SURVEY required for ail NEW construction, <br /> Diro,64 16 <br /> MI!out 3poic-aticn,--Zmplem"'. <br /> 0.&Contractoritgn back of application,r.clarizea <br /> If over$2500,a Notice of Commencement Is required. (AIG upgrades over S7600) <br /> Agent(tor tlio conlru�ot)or Poftl OT Allorney(forlhe owner)Would be someone with notarized letter from owner authorizing some <br /> I <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Roroofs If shingles Bowers . Sorvico Upgrades A/C Fences(Plot/Suivey/Footage) <br /> GrIveways-Not over Counter if on public roadways-needs ROW <br />