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----.� � <br /> ei3-�eo.00zo '��=�y��+°' City of Zephyrhilis Fermit ADpliCation FaX�s�aaeo-ooz� <br /> t BuUding pepa�mem <br /> Date Rxelved _ <br /> � � � � � � � � Phono Contact tor Permlttlo 9 7 9 8 7 8 3 5 2 9 <br /> ercha�ts Station iLC � � ��� <br /> Ownern Nsma _ � <br /> Owner Phona Numbe� <br /> Owner's Addmu � <br /> Owner Phone wtumber � <br /> Fee Slmple Tltleholder Nemu � � <br /> Ownar Phano Numbsr <br /> Fae Simplo Tflieho�der Addre�� � <br /> JOS ADDRESS d+ • � r , � �� <br /> LOT k <br /> SU86IVIStOk —1 p,�CEIIDit � <br /> WORKPROPOSEO e IOBTAINEDFROMFqOpERTVTA%NOTICE) <br /> NEW CONSTR ApplALT �� $1GIJ Q O DEMpLISH <br /> INSTALL REPAIR <br /> PROPOSEO USE O SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTlON Q BLOCK Q FRAME � S7HEL Q ] <br /> DESCRIPTION OF WORK '`' " '' 'i � r�^._ . � ] <br /> t � <br /> BUILDtNG SIZE � I �F�TAGE� <br /> ------ —..J NEIGHT �� <br /> QBUILOkJG S <br /> VALUATION OF TOTAL CONSTRUC710N <br /> OELECTRICAL $ AMPSERVICE � <br /> �� Q PROGRESS ENERGY [� W R.E.C. ��)�� <br /> —�J <br /> O PIUMBING S �},�,��J S <br /> �� j <br /> �MECHRNICAL b VALUATIONOF WIECHANICAI INSTALUiTION \ �������z1 <br /> ��`S Q ROOFING Q SPECiAITY �� OTHER � <br /> FINISHEp F�OOR ELEVATIONS (�_� FLOOD IONE AREA <br /> `___J QYES NO <br /> BUILDER � C ANY FfoDDv Obb�y S'+"WCS Z , <br /> SIGNATUqE <br /> REGISTERED Y/ FEE CURREA Y/N <br /> Addna■ �i(S Q � . <br /> ����_cGC, � y 79 ) <br /> e�crRicr,w � <br /> 31GNATURE �Q COMPANY <br /> REGISTERED Y/N FEE CURRE� Y!N <br /> Addross _,_� <br /> Ucense M� <br /> PLUMBER <br /> 81GNA'lURE COlAPANY <br /> REGISTEqEO Y/N �!cuaw n Y N <br /> �I�f9f! � � <br /> License N�-- <br /> MECHANfC/lL � COMPANY <br /> SIGNATURE <br /> REGISTEqED V/N cu�� �:n Y N <br /> Addross � � <br /> __ Ucen�e il �--'— <br /> OTHER <br /> SIGNATURE �01APANY <br /> re�cisr�o Y f N F� c�a=,�:n Y/N <br /> Addns� �'1 <br /> Illtllillll1111111 ! lIIIIIIIIIIIIIIIII11111111lIljl�lllliillllllillllll <br /> RESIDENTtpI, q(tach(2)Pbt Plans;(2)sels of 8uydpfp P4�:1119et of Energy Formn;R•O-W pem��(pr new cormruc4on. <br /> MiMmum lan(70)working days aher submittal date. Requirod onsite,Constructron Plem.Stortnwater pluns wl S It F r nce aa te11eC <br /> COMMERCIAL Atladi 3Fo�o�es 6 1 dumpsfer,gqe WoAc Pertnit/or eupclp�sior�l�ar�p��s <br /> ! ) mda�e sels of BuldMp pleny plus a LAe Selaty P�e:(1)sst of Eneryy Forms.R-O-W PertnN for new consuuctfon. <br /> Mirunwm ten(10}wpking day�aryer wbmplaf��. q�q�onaiM.ConabucGOn Plens.Stamwater plens w/Sill Fsnca instyMed. <br /> SanNary Fecllltles 6 1 tlumpafer.Siie Wodc pemHt for eil new proJects.All commerciai requirements musl meet campBance <br /> SIGN PERMIT Atfach(y)y�a of Enpineeretl Plans. <br /> ""PROPERTY SURVEY raquired(a ali NE W cons�ruqip�, <br /> Dlractlans: <br /> FUI ou1 aOP�tion COmplgtg(y. <br /> Owner d CoMrac[or sipn badc o!applha�qn,nofanzed <br /> 1f ov�r;2S00,�fypUp�of Comrmne�m��t la nqulrad. (NC upQndsa ov�r 57500) <br /> � A9en�(1or the conireclor)or Paner p�Altomey((or tha oNmer)wW�tl be someone witn notanzetl letter hom owner authorizing seme <br /> OVER THE COUNTER PERMITTtNG (fron!of Applicalron Only) <br /> Reroots if shingles gewers �¢M�U <br /> P9ratles A!C Fences(PIOUSurvey/FOOtaga) <br /> brivsways-Not over Counter d on pudic roadways.needs ROW <br />