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Lowes1854 <br /> ai�-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone ConWct for Permittin – <br /> Owner's Name LOWeS Owner Phone Number <br /> Owners Atldress Hwy 268 East N Wilkesboro,NC 28659 pwner Phone Number � <br /> Fee Simple Titleholder Name Owner Phona Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 792� Gall Boulevard Zephyrhilis LOT# [� <br /> � 34-25-21-0010-00100-0010 � <br /> SUBDIVISION PARCEL IQA <br /> (OBTAINED FROM PROPERN TAX NOTCE) <br /> WORK PFtOPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER —� <br /> TYPE OFCONSTRUCTION Q BIOCK Q FRAME Q STEEL Q �—� <br /> DESCRIPTION OF WORK provide temporary power to Christmas Tree Tent � <br /> BUILDINCi SIZE SQ FOOTAGEC� HEIGHT C� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ( �"� / � <br /> � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> ELECTRICIAN � COMPANY Lin R Rogers Electrical Contractors� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address 2050 arconi Dr suite 2 Ipharetta,GA 3000 License# EC0000740 -� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �d�g$ License# �� <br /> OTHER COMPANY � <br /> SIGNATWRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt 1=ence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PHRMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constivdion. <br /> Directions: <br /> Fill out application completely <br /> Owher&Contrector sign back of application,notarized <br /> If ove�f2500,a Notice of Commencement is required. (NC upgrodes over 57500) <br /> " Agent(for the contractor)or Power of Atlomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />