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11/03/2010 13:21 8138992968 TOTAL ELEC PAGE 01/01 <br /> . JaCiK t e._. <br /> 813400.0010 City of Zephyrhflls Permit Application Fax- aiaaaO•oozi <br /> Building went <br /> /H0' <br /> • Date Received d � Phone Canted for NEIGH : • ,<e, _ _ - — _ <br /> • Owner's Name .• g • s. <br /> Owner Phone Number <br /> Owner * Address I /O9 /r6 /DrrAl%!�• chirAtt J2 lb. <br /> S 1 OwnorPhan* Nunr I . 1. <br /> • <br /> Fee Simple Titleholder Name I 1 owner Phone Number ( I <br /> Fee Simple Titleholder Address I 1 <br /> JOBADDRESS 17 3 a , 6411 1 3 oR JrvAird Z_rr iJ %s 1 Lora 1 I <br /> SUEDIVtauOtf 1 1 , PARCEL 1131/1 • <br /> OBTAINED RIM PROPERTYTAXNOiIDCI <br /> WORK PROPOSED F NEW CONSTR 5 ADO /ALT Q SIGN E21 �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM r1 OTHER <br /> TYPE OF CONSTRUCTION [::i D / BLOCK �] FRAME 1 STEEL L] // 1 n <br /> DESCRIPTION OP WORK <br /> � 154 Ll44t' 4 ,} f 84 cpq par' ,04 ' / 5:4'r A/d T 4 . r <br /> BUILDING SIZE 1 r - )( 2 , Eli FOOTAGE /7511 t G I HEIGHT I. I • <br /> OBURDINO IS VALUATION OF TOTAL CONSTRUCTION 4i 3Z.S: <br /> EEI.ECTRICAL . IS Q)) J 00 <br /> /%. op ) AMP SERVICE ©. PROGRESS ENERGY E3 W.R.E.C. <br /> n1PLUMBING IS W 1 If _[ f�{ I ill <br /> QMECHANICAL IS VALUATION OF MECHANICAL I STALLATION 5) .. �r+1 s <br /> nOAS ROOFING El SPECIALTY i OTHER Z V 1(0 C <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA YES , • J gi CV .UiLDPR COMPANY I Clio J �.fi u s C � io�✓ I ' <br /> �I <br /> SIGNATURE MOISTENED 1' / N P10 CURED ) Y 1 N t <br /> Address I/If/I ,�� Lbws* a 1 • <br /> PIz 5,� <br /> � EtE s e l SIGNATURE `I� l , 4COMPMtY trOR1 0 WtIG S EYJU of Tx .�c • . <br /> REOI8roRED t Y I N 1 POE DUa10n i YIN 1. . -- ,, <br /> Address ' Alb" U! r •• �1 ■ 1137 y, Uomse4 _ 0001 '39 -. I; ", <br /> PLUIa8ER COMPANY 1 <br /> SIGNATURE Requiem 1 '1/ N i .. RN CURRE. 1 Y I N 1 <br /> Address I I Ltoeru.# 1 <br /> MECHANICAL COMPANY I . <br /> SIGNATURE <br /> t '( Y/ N I' Rte Curgken L Y!i$..1 : <br /> Address I 1 License* 1 <br /> OTHERURB ' COMPANY r i + r .. <br /> Address 1 ( , 1lrimas a 4 :, <br /> RESIDENTIAL Attach (2) Pbt Plans; (2) sets of waking Pans: (1)set of Energy Fomu R,0 Per:46r' Donelca llan. • . <br /> Minimum ten (10) wing days SRN aubndtal die. Roquead emit, Oaactl Nine, ms, 8benwater Plans wI S0(Penc I <br /> GAME , • ; <br /> Ssn wry Faola*.8 dumpsite; Site Work Paine! tor pre oa • <br /> . <br /> COMMERCIAL Attach (3) Oc.ptete sake of Building Plane plus a Life Safely Page; (1) art of Energy Fonm, R-O-W Permit for new cotlithirdlOrt <br /> Minimum MI (10) waiting days after sub IUa* date. Required omits. Construction Planet 8lormwaar Pane vd SIR Finns inaalled <br /> • <br /> sentry Faollee 8 1 dtmpsar. Silo Work Permit for eB new pro(acia. Al corhm.rdeI ragukemanls must meet oompNsnca <br /> SIGN PERMIT Attach (Z) sem of Engineered Plane. <br /> • '"'PROPERTY SURVEY GROW tarsi NEW mrrawtlon, <br /> Dtrsction.r <br /> FR out applcstlon completely. a - " <br /> Owner 8 Oa nlscicrrlgn beck of appiloseon, noartted <br /> V over 83000. a Rollo* of Coremeno mantle required. fAJC uparrWu over 51100) • . <br /> " Agent (Tor eve contemn or Pacer of Attorney (for Ire oww) would be someone whhttotidted alteitrom owner eu5wrRfp <br /> Srg me tRUA x - . <br /> OVER THE COUNTER PITTING (Frond of ApplloeSon Ord);) a ' a .: <br /> Raroole I shingles Sewn= Service Upgrades A/C Fences (PIWlSn.vey/FOOIege) <br /> Driveways -Not over Counter I on public roadwaya..needs ROW ' <br /> 100/100"d PZO# e4:II 01O1/SO/11 :u0JA <br />