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s�saao-oozo City ofZephyrhiils PermitApplication Fax-8'I3-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting __ <br /> ^-_-.f.F.'�%F3=76ielfiS�IS�I.x�-�...__..,..._".`""'.... ....... ............rt - 1:-. .� - t -Eryil[6111Y1SIIf �a m � f� . .e e-..�• . -'�" <br /> � <br /> Owner's Name Owner Phone Numb � <br /> Owner's Address � ner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �—� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �AC LOT# � <br /> SUBDIVISION PARCEL ID# II' � �(� � <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER —� <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTHER C—� <br /> DESCRIPTION OF WORK � '� (L^� � r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> A�np:Fa'+�.'.:::�l4Y.'s•Fn'Al:�siiei:�.?i:a5��5F.s.�A:�Y.iiFFWSFNfm�1+��I�aiFinmir�n'vi'elpi's�Nimi"�;�r"p�Ri;7NR;iarF`.,}�e�'iiE17f171i7ii1F'N:Nip4�N'�5'id4KtN�7'i#IRm'YviNiiAq�tlRrYtAKiipNA'.NN3iiiki�.,t'iNA#C,:lF'm'fEFiaa:'RiaqNe'r'R!'�riiFM71k1'itli�li�'#CINi.+ <br /> � BUILDING $ (\/,—O� <br /> Or'�(J VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R E C <br /> � PLUMBING $ ���/�n A(/', � �� <br /> �-.�''`� <br /> MECHANICAL �$ VALUATION OF MECHANICAL INSTALLATION ^,-{)�� fJ�. � <br /> I '�v(/ r�li <br /> FI�NISHED FLOOR ELEVATIONS� ROOFING � FLOOD ZONE�q OTHE�YES �NO �L-/�/� <br /> / � <br /> ....._.a:-:i��:=�r:�;��::��'x;�ES'-::_��,ein`�:�`,_°�"°.."�,�" � ::::nir'�kl�a�3�a3:T'��`J?4nir�".z.�y'_5'�ffik'mkR3�eriC=9i'�a�".«�.,.:.•..:.,�n,u�.x,e,��,,.�.,..3`!�'::Na�Si�H{IRiui:�l�l�5!l�iiryl�"-�i��;ilrYnlEul�ii�YdCR'6���:3�ti�:E <br /> BUILDER COMPANY �� v.ti� °/I z7CN�`(1 �yll/j�r� n , ^ �'I���(/ <br /> SIGNATURE �"� REGISTERED Y/ N FEECURRENT Y/N t�u�r <br /> ♦ �� L <br /> Address �� L Ucense# -z-��� <br /> ELECTRICIAN COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N <br /> Address License# <br /> PLUMBER COMPANY —� <br /> SIGNATURE REGISTERED Y! N FEECURRENT YlN <br /> Add ress �� <br /> License# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEEWRRENT Y1N� <br /> Address �� <br /> L�cense# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N� <br /> Atld ress �—� <br /> L�cense# <br /> ;E�ii:_3i:T:ie�ier��.::Y5e•sefE'�•"ai�'m:.�_'�e_:'��SEk'�.13�7i�{ifd:�ili9":t'"-zri�9'sH:aB.13�Sir=i�ikiiFi!i,:fS�"m':ikiba'n":i3�aF=i�li�'o::3!i;C4i?SE'.J��"YZE'�P.S�'aa:'��ifkii'3:��9f��:tilR`�i.d"''f3!!�6u'G�:.'t <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Energy Forms <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construdion Plans,Samtary Facilities 8 1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms <br /> Minimum ten(10)v.orking days after submittal date. Required onsde,Construdion P�ans,Sanitary Facilities 8 1 dumpster <br /> All commercial requuements must meet compliance. <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion <br /> -.--::s,;@:..;�i���zi+=:ia§!:�„�:.:..�...m.,:Fi�39liiiT;;G:;3:�""Li�'m::ii9i:�ii�;�liWi3!ii7;4fi°s:i;�;Pallli6'�5A«�:iR1Ai:�;:i�;{�'13:#:�Hi�9�liii"'iu,kl` 1"s::: <br /> `i:��iHiI:EAkil7i:e�5iLi:�R:kit7!l�;a�i:;a�„3'„SYiiMi:i�SA:�:t:��#iE�;;�;A",�3l:'m <br /> Directions: A��� <br /> Fill out application completely <br /> Owner 8 Contrador sign back of application,notarized <br /> If over 52500,a Notice of Com mencement�s required. (A/C upgrades over E5000) <br /> ^ Agent(for the coMrector)or Power of Attomey(for the owner)would be someone with notar¢ed letter from owner author¢ing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter rf on public roadways..needs ROW <br />