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<br />B13-7BO-0020 <br /> <br />Date Received <br /> <br />City of ZephyrhiUs Permit Application <br />Building Department <br /> <br />Fax-B 13-7BO-0021 <br /> <br /> <br />-tf~Sq1 <br /> <br />Owner's Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />....."....- I ~ ~rnUU ~~ I <br /> <br />Fee Simple Titleholder Name I <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~1I1 <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />o <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />_III <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />i"1"~1 <br />I <br /> <br />hiLlI 81 vI/.. 'Uph r hills} Ft.. ~d <br /> <br />I PARCEL 10# _ <br /> <br />r::&J ADD/ALTO <br />D REPAIR <br />o COMM 0 OTHER <br />o FRAME 0 STEEL 0 <br /> <br />I ~DVa,t;Of'\ 0' 4J~u_ <br /> <br />SQ FOOTAGE I (pq 5 I HEIGHT I <br />~ U l --_.UI..11..III1b_IIIIll4I8JI~"'IIIlI."'.IIII1_.IlIIII_II_1ImIIINIIIiftMM_lfIlIr_.~IIIIII!OOI.HIIIW <br /> <br />L.OT# <br /> <br />B <br />o <br />o <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />NEW CONSTR <br />INSTAll <br />SFR <br />BLOCK <br /> <br />o <br /> <br />SIGN <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />J t" ODD <br />2.. 00 <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />ONO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />-. <br /> <br />~ ~~~ :M\L-.I <br /> <br />Y / N FEE CURRENT ~ <br /> <br />License # <br /> <br />1a=.c.ISI2D'33 I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED Y/N <br />COMPANY <br />REGISTERED Y/N <br />COMPANY <br />REGISTERED Y/N <br />COMPANY <br />REGISTERED Y/N <br /> <br />FEE CURRENT <br /> <br />L1i.!U <br /> <br />License # <br /> <br />FEE CURRENT <br /> <br />L1i.!U <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />FEE CURRENT <br /> <br />L1i.!U <br /> <br />License # <br /> <br />Address <br />1_11I!I_-.II~ r I II I.-_ <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />'-'PROPERTY SURVEY required for all NEW construction. <br />1f1~llr - II _,... ,_ <br /> <br />FEE CURRENT <br /> <br />L.:!:!!:U <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />License # <br /> <br />-ijg .-r 1lIlI.~"M~m~i <br /> <br />........'-1111- <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. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />IIU <br /> <br />--~"'1 11~ .--'-'''''IIIIIIlIW-'-IIftMIMml8IJ1 <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />