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e�3�saoo2o City of Zep#�yrhiits Permit Application Fa�$��-leaoo2� <br /> Building Departrnent <br /> Date Received l �O ' ------—� g � C� � <br /> � Phone Contact for Fermitdn � �-- � . s <br /> },� v -- --- ` <br /> Owner's Name �` 1 11 � T� � R Owner Phone Number� � <br /> Ovmer's Address ( ^ r� ( � Owner Phone Number <br /> Fee Simple TlYlefalder Name Owner Phone Number <br /> Fee Simple Titieholder Atldresc <br /> JOB ADqRESS l L LOT# �] <br /> SUBDIVISION PARCEUDIt V2-I(�-2 1-OtY1 —i,Sy;,,[� •�^��� <br /> (OBTAINED FROM PROPERTY TA7C NOTCE) <br /> WORK PROPOSEp e NEW CONSTR B ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTWER <br /> DESCRIPTIONOFWORK ���� t� �11�►►,�kd r,�,�l sy� � t�t �url� G/ew��cn wz� eurucf �-0 2.[2cfr�C <br /> BUILDING SIZE �S� /r I tY SQ FOOTAGE�c l g HEIGHT <br /> BUILDING $ % �Q j �'� VALUATION OF TOTAL CONSTRUCTION <br /> I X 1 ELECTRICAL $ �O. 6 6 AMP SERVICE � PROGRESS ENERGY � W.R.E.C. � �nJ <br /> 7�r <br /> ��) ,f^� �J //��..i' <br /> � PLUMBING $ � VjD /r �'2 5 �{/ � L <br /> lg ��. \� / <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'j�;�J 1? „n� <br /> /v"nTJ ,��y <br /> Q GAS Q ROOFING Q SPECIALTY � OTHER ,J,�/� �} <br /> [.t' f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO � ) <br /> � <br /> �� <br /> BUILDER ` COMPANY <br /> SIGNATURE ) REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � f � <br /> G � c�. <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE �cis�r�D Y! N 'r E cuRRErrr' Y/N <br /> Address �-{I , l '� l �l L +��,�"� License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N <br /> Address �� <br /> License# <br /> MECHANICAL COMPANY —� <br /> SIGNATURE REGISTERED Y/N �e ctmr�rir Y 1 N <br /> Address License* <br /> OTHER � � C�PA� <br /> SIGNATURE REGISTERED Y! N �e curt�rfi Y/N <br /> Address � <br /> License# <br /> ' mnrmmm <br /> RESIDENTIAL Attach(2}Plot Plans;(2)sets of Building Plans;(1)set o'Energy Fortns;R-O-W Permit for new construction, <br /> Minimum t�(10)waicing days after submittal date. Required onsite,Construction plans,Stortmvater Plans w/SiB Fence insfalled, <br /> Sa�ifary FaaliTies 8 1 dumpster,Site Worlc Permit for subdivisionsllarge projeds <br /> COMMERCIAL Attach(3)complete sets of Build�ng Ptans plus a Life Safety Page;(7)set of Energy Fortns.R-O-W Pertnft Wr new consWCtion. <br /> Minimum ten(10)workinp days after submittel date. Required onsite,Construdion Plans,Stormwater Pians w/Silt Fence inatalled, <br /> Sanitary Facilitles&1 dumpster Site Work Pertnit for ail�ew projeds.All commercial requireme�ts must meet compliance <br /> SIGN PERMIT Attach(2)sets of Enpineered Ptans. <br /> ""PROPERTY SURVEY required for all NEW conshuction. <br /> "�'�rtrrs _. ..mimm� <br /> Diroctlons <br /> Fill out application complete�y <br /> Owner&Contredor sipn back of application,notarized <br /> tf over 52500,a NoUce of Commencement is required. (A!C upgrades over:S000) <br /> '" Agent(for the contractor)or Power of qttomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades AtC Fences(PIOUSurvey/Footage) <br /> DrivewaysNot over Counter'rf on public roadways..needs ROW <br />