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a��-�eo-0ozo Ci of Ze h rhills Permit A lication FaX-s�saeo-ooz� <br /> ,. �Y P Y � PP <br /> •,,� ' Building De aAment <br /> Date Recefved phone Contact for Pe itting <br /> Owner's Name � � 5� �N�� � � � Owner Phone Number v��— ��l 'S L p� <br /> Owner's Address ���� 7}� �� 3,�y� <br /> � ��-� Owner Phone Number <br /> Fee Sfmple Titleholder Name Owner Phone Number <br /> Fee Simple Tttleholder Address <br /> JOB ADDRESS �O .,.) ,/�� �fi' � `' -S ��� LOT# � <br /> P(32 PC-,$y (.o-is'j �e 620� f <br /> SUBDIVISION 7 PARCELIDtt (I'��v�1`���V '���OO�� �D�� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �V� y� hee � n � Y �J�'f "`�"'``/T��1� � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��Q� <br /> �MECHANICAL $`_�I�P VALUATION OF ECHANICAL INSTALLATION � � <br /> �� <br /> Y/ � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP Y <br /> SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � COMP Y /'J <br /> SIGNATURE REGIST RED % N FEE CURRE� Y/N <br /> Address ��✓�� �'�Y►% �r.c.t��7 ,S'�• T`� License# l.�''[C lo� b <br /> OTHER COMP Y <br /> SIGNATURE REGIST RED Y! N FEECURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aHer submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subd visionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sile Work Pertnit for all n w prajects.All commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2)se[s of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cons[ructiol: <br /> Directions:• • • • • • • • • • • • • • • • • • • • • • I <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrad s over b7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br /> li <br />