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n�s-��o-002o Cify of Zephyrhiils Permif Application Fax-et3-7eo-oo2+ <br /> ' Bu�ld�ng Departmen� � <br /> �_ ��" ..__ ,��, <br /> Date Received � �"/7�-��Phone Contact for Pormitting Ii �7 � �j �� <br /> ..,..�.� T..,..�._.�_i. � .1 I�(�7.�_�.7. ��'..,..'_� � -- _ , <br /> Ownor's Name hLJr�r� f2, _ Owner Phone Number � �� d a y <br /> Owner's Address��f��(p Q�„p m/L(,,(�� l Owner Phono Number --� <br /> Fee Simple Titleholder Name ^^______ __ _ __ Owner Phone Number � � A� <br /> � -- �-----------------�------ �----i----�-- � <br /> Foe Simple Titieholder Addross � '� <br /> JOB ADDRESS 3'7 � p� D� �I� �,�C. _� {�OT lf 3�p � <br /> SUBDIVISION N��L°f �)L[,, pqRCEIID# 2�z��zo� 000vaao�3�a —_� <br /> (OBTAINED FROM PROPERTY TAX NO ICE) <br /> WORKPROPOSEp NewcoNSrR qUpiAt_T �� SIGn1 � �I pEMOL:SH <br /> e �NSTALL � REPAIR j <br /> PROPOSED USE �_] SFR (� r_,OMM �� OrHER [^��— ---� <br /> TYPE OF CONSTi�UCTiQN � 8lC7CK �– FRAME � STEEL � �— � <br /> DESCRIPTtON OF WORK r —� <br /> �1 <br /> i <br /> BUILDtNG SIZE '� SQ FOOTpGE� HEIGHT � � <br /> �BUILDINIi �� `JAi_UATION OF TC)Tf�L.^.ONSTRU!�TiON j <br /> �ELECTRICA� ���, AMP SER�ICE � PROGRESS ENERG�' � VU.R.E.C- <br /> �,,� -----� <br /> [JCJ'"�UMBIMG $ �/-�D�OQ i % �/ <br /> .r� �'� / � <br /> �MECNANfCAL $ VALUATION OF MECHANI;AL INSTALL4TfON ,, <br /> �GAS � ROpFING � SPFCIAL.TY �� 07HER �� <br /> I <br /> FINtSHE�FLOOR'��,ELEVATfONS �� FLOOO ZONE AkEA ��ES Nv �. <br /> BUILDER � COMPANY � <br /> I <br /> SIGNATURE HersrEPFo Y! N FEt cuRaEn : Y/N <br /> Address License# <br /> ELECTRICIAN � ^� COMPANY <br /> SIGNATURE �Rkc;isrERE� Y� �v_ fEe cuRRen Y/N '� <br /> Address , License# ( I <br /> PLUMBER � l+�t�---J��!' COMPANY �SE l�DmE ��V �, sv� �.,�1a u.�� <br /> SIGNATURE �� ��t"�—�J RE�i�;ERE�� Y� N FeE cuaRen , Y�N wl� ��S ��^axAk� <br /> � <br /> �d�e5g D a7�.� T P �c. ,��e„5��� �C��y 4 ���; <br /> MECHANICAL COMPANY � ] <br /> SfGNATURE RECisrEREO Y/ N Fce ruRHFr. Y i N � <br /> Address � License if � � <br /> O7HER � —� COMPANY {(�_ � <br /> SIGNATURE HEC^,r=�RCp �/ N Fr:F cuRRen Y i N <br /> Address ���� � �� Llcense# ���� � <br /> If111111i111I1111111 / 1111111111111111111 { Illfllllllllll1�711t11111111 <br /> RESIDENTIAL 'Attach(2)Plot Plans:(2)sets of Buildhip Plans:(1)set of Energy Forms�.R-0-W Permit for new wnstruc�n, <br /> ��,Minimum tan(10)working days after submittal date. Reqwred onsite,Construr.tion PWns,Stortnwater PI� s w!Stlt Fence mstalfed. <br /> 'Sanitary Facitities&1 Aumpster,Site Work PermB for subdivisions/larye projects <br /> COMMERCIAI 'Attach(3)complete sets of Buildinfl Plans plus a Lde Safery Page;(11 set nf Fnergy Forms.R-O-W Perm�t fo�new construction. <br /> Minimum ten(10)working days after submittal date. Required onsde,Construclion Plans,Stoimwater PI ns w/Silt Fence installed. <br /> Samtary FaciliUes 8 1 dumpster.Sife Work Permit for all new pioJects Ali commercial reyuirements musl�meet compliance <br /> SIGN PERMIT �Attach(2)sets of Engineered Plans. ; <br /> ."`•PROPERTY SURVEY required for all NEW consWdion. i <br /> Directlons: ' <br /> Fill out applic8tion completely ' <br /> Ovmer 6 Canaactor sign back ot appiication.notanreA <br /> If over s250p�a Notice of Commencement is required (A(C upgrades over 57500� � <br /> I <br /> " Agent(for the�contractor)or Power of Attomey(for the omnier)would be someone wrth notarizeA fetler from owrier autho�zing same <br /> OVER THE COUNRER PERMITTING (Front of App6cat�on Only) , <br /> Reroofs if shingles! Sewers Service Upgrades A!f Fences(PIOUSurvey/FOOtage) <br /> i <br /> Drivoways-Nbt over Counter rf on pubtic roadways..needs ROW i <br /> i <br />