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. $��-7$o-ao2Q City af Zephyrhifls Permit Application Fax-&13-780-OQ2? <br /> Building Department <br /> Date Received Phone Contact for Permit#in � '� � - � �j0`t� <br /> Owner'�Nar�e Sf1 1�D���fY1 'n Owner Phone Number ��3--��^-�� <br /> Qwner's Address �� ��'.w� . Owner Phone Number � � <br /> Fee Stmple Titiehoider Name � � Owner Phone Number �� � <br /> Fee 3imp}e Titieholder Address <br /> JOB ADDRESS ���"{�CP 1� C.�$�- • �OT# [___� <br /> SUBDiY1S10N �� � PARCEL ID# <br /> (OBTAINED FROM PROPER7Y TAX NQTICE) <br /> WQRK PFt4POSED � NEW CONSTR 8 ADC71Al.T � SIGN Q � DEMOLISH <br /> 1NSTALL REPAIR <br /> PROP08EQ USE Q SFR Q COMM � OtHER <br /> TYPE OF CONSTRUCTIQN Q BtOCK Q FRAME Q S7EEL Q <br /> DESCRIPTION C1F WORK I C y� �`""��{J�1 <br /> BUtLDING SIZE � � SQ FOQTAGE�� NEIGHT Cw� <br /> QBUIIDING �� VALUATION OF TOTAl.CONSTRUCTION <br /> QELECTRICAL �6� AMP SEFtV(CE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING r�-� �.�� <br /> i_ `� <br /> �MECHANfCA� $,� � VALUATlON QF MECHANICAL INSTALIATlON �( <br /> QGAS Q ROOFlNG Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FL04D ZQNE AREA �YES Np <br /> ,_„ � <br /> BUlGDER � COMPANY <br /> SIGNATURE �__�_ ae�isrERe� Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> E�ECTRICIAM � COMPANY <br /> SIGNATURE ,_ ,,,� REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Addre85 �icenSe# ( � <br /> F�1IMBEFt COMPANY <br /> SIGNATURE ,_„ ,_._,,, REGISTERED Y/ N FEE CURRE� Y/N <br /> A{!dr@8S LlCeitSB# � � <br /> MEGHANICAL CQMPANY �� 'SE 1f �iS �'i" 1 SCO <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y I N <br /> Address g{�� t'� 2—h�11s y�l� 33�3�t �r�ns�# C1�G 1�15tiQ� � <br /> UTFi£R GOMPANY <br /> 81GNATURE REGYSTERED Y/ IV FEE CURRE� Y/N <br /> ,._.. ,,......,,.—.._, <br /> Address l.icense# �� � <br /> RESIQENTIAL Attach{2}Piot Plans;(2)sets a#Building Pians;{1)set af Energy Forms;R-O-W Permit far n�v constn�ction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Pians wt Sitt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAI Af#ach{3}compiete sets of Buitding Pians pius a Life Safety Page;(1�set of Energy Forms.Ft-O-W Pemiit for new c:anstruction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construc6on Pians,Stormwater Pians w!Siit Fence instalied, <br /> Sanitary Fadlitles&1 dumpster.Site Work Permit for all new projects.Alt commercial requirements must meet campliance <br /> SIGN PERMIT Attach{2}sets af Engineered Pians. <br /> ""*PROPER7Y SURVEY required for all NEW construction. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appltcatlan,notarized <br /> If over;25�,a Motlae af Ccrr�mencemerrt 3s required. {A!G upgrades over 57500) <br /> '" Agen#(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter 1'ram owner authorizing same <br /> OVER TNE GOtINTER PERMIITING {Frant af Appticafian Qnly} <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) <br /> driveways-Not over Counter if on pubiic roadways..needs F20W <br />