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uty of Zephyrhilis Permit Application Fa*8113-780-0021 <br /> Building Department 7/v V 2'?3 <br /> Date Received <br /> Phone Contact for PermItUna <br /> t i 984,15122441 Bill <br /> Owner,$Nam: \*Jbn -L�) Owner Phone Number <br /> Owner's Address r ':54. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT)--70-7 Yfr) �41 <br /> SUBDIVISION PARCELID#1 766' Q4 0­� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR M ADDIALT F--j SIGN 0r—j DEMOLISH <br /> R INSTALL F--j REPAIR n eg-ft L -ft�A <br /> PROPOSED USE SFR Comm OTHER <br /> TYPE or CONSTRUCTION 0 BLOCK FRAME Q STEEL <br /> DESCRIPTION OF WORK Fa ua 140- t-)/W 7+or-7 Akmar)&J-4�,,^\ <br /> BUILDING SIZE SO FOOTAGE Enl— HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> M ECHANiCAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI\ LaLN J <br /> Address License 0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y1 N FEECURRE� Ly N_j <br /> Address License#E <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURM <br /> Address ucenisev F <br /> MECHANICAL COMPANY <br /> SIGNATURE 1!�15FREO I YIN FIM CURREh IL)j/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURIM L_yj N j <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)'sets of Building Plans:(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Storrnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> 1 COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page:(1)set of Energy Forms.R-O-W Permit for now construction. <br /> MInImurn ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions:6 <br /> Fill out application completely. <br /> Omer&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C upgrades evor$7600) <br /> Agent(for the contractor)or Power ofAttomey(for the owns*would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs it shingles Sewers ScrAce Upgrades AfC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on pubrio,roadways..needs ROW <br />