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Date Received - ( 5 Phone Contact for Permi AI. 81 7'" �j - 2 boot <br /> Owner's Name b1.0 ' i rrlta • 4 N R.1) /wrier ' 4 /wrier Phone Number 0 1 J --1 32 �dr.� <br /> Owner's Address I 3`2 r l L% ` O \Uk-- I t. .#ner Phone Number <br /> Fee Simple Titleholder Name' OI ,ner Phone Number I <br /> Fee Simple Titleholder Address I �'7 <br /> JOB ADDRESS S \� i LOT# / <br /> SUBDIVISION PARCEL ID# ,l 01 -OD\O - .3o 500 - 0 <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I uIGN I I MOVE I I DEMOLISH <br /> INSTALL • REPAIR <br /> PROPOSED USE Pc I SFR I I COMM n f'SHER I - I <br /> TYPE OF CONSTRUCTION ,,r,=1 BLOCC I ' I FRAME 1 I STEEL II-1 OTHER 1 <br /> DESCRIPTION OF WORK I 1 e A 1 r O \� ,-' -e--COCjil 1 0 c a u( "'vr' ` ( ( V cu rip <br /> BUILDING SIZE I SQ FOOTAGE' 1 Sad HEIGHT I 0 1LK)d � <br /> I 1 <br /> ,Z'1 �/ <br /> BUILDING $ 3 r?,0 . I VALUATI OF TOTAL CONSTRUCTION AI <br /> `� ' I va <br /> I ELECTRICAL $ AMP SERVICE ( ( PROGRESS ENERGY I EC <br /> W.R.., <br /> 1 PLUMBING $ 1 , f_j/ V izi, . I <br /> I <br /> i - ' <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓` <br /> I I GAS EN ROOFING 1 I SPECIALTY I I OTHER • <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES F1NO <br /> f <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I. Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I I License # 1 <br /> • <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I • 1 Licensee �� <br /> # <br /> ' COMPANY `� 1G C �� <br /> S ` ' ��� = ` - - REGISTERED Y / N FEE CURRENT -' Y / N I <br /> {t l <br /> I- � � ( 1 �{� •� err n�C^ 1 Y T � \,',' IT Address 3v(_ 1 J ^ ' 5- `" t / ' . V lids ass - I License I���1 J c��51. amt /a L 1 �k i ` . <br /> Energy _ rL , P('' _ ' i1O D \L�'II , <br /> RESIDENTIAL M'inimu ten (0) workin sets of Building <br /> s after submitttal dates Req ed onslte. Construction Plans. Stormwater Plans w/ Silt Fe COr�RyIE�� i + �, \. ;� r ` . 1 it (� (, <br /> ( ) 9 Ys ����t��I �� <br /> Sanitary Facilities & 1 dumpster,, Site Work Permit f o r subdlvlsionsAerge projects r , i -1 p'' S `; () D D I "; A \, ( 1 <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Pemlil for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Stormwater Plans w/ Slit Fence Installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Pemm for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for ail NEW construction. <br /> Directions: ! <br /> FIII out application completely. <br /> Owner & Contractor sign back of application. notarized <br /> 0 over $2500, a Notice of Commencement Is required. (AIC upgrades over $5000) REVIEW DATE <br /> •• Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> CITY O F Z E P H Y R H I L L S <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) , PLANS EXAMINER______ <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />