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s��-�saoa2a City of Zephyrfiill Permit Applicatian Fax-s�sasaoo2� <br /> Building Department <br /> Date Received ��7"�� phone Contact fo Permittin -- <br /> Owner's Name 1 Owner Phone Number �13`'��,��� <br /> r <br /> Owner's Address � 1^ Y� �- Owner Phone Number -�-�..,,, <br /> Fer�8lmple Yitieholder Name � Owner Phone Number �~i"' � <br /> ' - ._-_- <br /> Fee�imple Titleholder Addreas <br /> JOB ADDRESS YY) �OT# C� <br /> SUBUIYlSIC1N ,�1 !��' C.�G�y` �-5 � PARCEL Q# <br /> (087AINEp FROM PROPERTY TAX NOT10E) <br /> VY�RK PRtyPOSED e NEW CQNSTR ADDlA�T �� SIGN Q Q DEMO�ISN <br /> INSTALL REPAtR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q -���1���_, � <br /> Q�SCRiPT10N OF WORK � p 7 1 C� <br /> � � � ��� �� <br /> BUILDING SIZE $Q FOOTAGE HEFGHT <br /> BUlLDING $ '�.5� VA�UAT1t}N F TOTAL GOt�iSTRt3CTiOtV <br /> QELECTRlCAL $ � AMP SERVEC � PROGRESS ENERGY [� W.#2.E.C. <br /> QP�UM8ING r6� � UG t <br /> L �� <br /> QMECHANlCAL � VALUATION F MECHANlCAL INSTALLATlON <br /> QGAS Q ROOFING Q SPECI � pTNER ��I(} ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NQ <br /> r �( , i �y� <br /> BUI�DER ( Ct} PANY � � 'I�` ' I <br /> SIGNATURE � REGI TERED Y/ N E CURRE� Y/N <br /> Addreas license# t ������� "7 I,� � <br /> ELECTRICIAN CO PANY <br /> SIGNATURE aeci r�R�o Y/ N FEE CURRE� Y/N <br /> Address License# �Y � <br /> PLUMBER � CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> ......,,_,_,,._..._ .......,,,__ <br /> Address license# �� � <br /> MECHANICAL '� -� CO PANY <br /> SIGNATURE _„�".. REGi TERE� Y/ N FEE CURREP Y!N <br /> Address Licerrse# �� �� <br /> OTNER CO PANY <br /> SIGNATURE REG TERED Y/ N FEE CURREP Y/N <br /> Address �9cense# � � <br /> RESIQENTIAL Attach(2}Piot Plans;(2}sets of Bufkting Pians;{1}set Energy Forms;R-O-W Pennit for new canstn�clfoR, <br /> Minimum ten(t0}wottcing days after submittat date. Re uired ansite,Construction Ptans,Stormwater Pians wi Silt Fence instaited, <br /> Sanitary Fadlities 81 dumpster;Site Work Permit for s divisions/large proJects <br /> Ct}MMERCtAL A#tach(3}c�mplete sets oE Buitding Plans pius a Life S ety Page;{1}set af Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)worlcing days after submittaf date. R uired onsite,Construction Plans,8kormwater Pians w!Siit Fence instailed, <br /> Sanitary Facilities 8�1 dumpste�.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> S1GN PERMIT Attach(2}sets of Erx,�ineered Plans. <br /> ""'PROPER7Y SURVEY required for ait NEW constru ion. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of app�ication,notarized <br /> if over;2500*a Notice of Commencement Fs required. (AtG upgr des cver ST5o0} <br /> "" Agent(for ihe contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner autharizing same <br /> OYER THE COUNTER PERMtTTING {Front of Application Only} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences PIoUSurvey/Footage) <br /> Dri�eways-Not over Counter if on public roadways..needs ROW <br />