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�,�-rawUU�U City at Zephyrhitls Pecmit Application Fax-s��-7sa-floza <br />', Building epartment <br /> ,,.-�• _ - - � <br /> Date Recetved � �2,�3�-i - ' _ .;phone Gontact for ermittin � -- <br /> � � j /� <br /> Dwner's Name �6� � C• �� � Ownec Phone N ber�. -U'��-� �l — (9 ' <br /> Dwners Address ��� �t,.l� � � �� Uwner Phone umber +C ~ <br /> Fee Simpte Titteholder Flame � Clwner Phone Number Y �. <br /> Fee Sfmple 7itlehoider Address <br /> !OB ADDRESS ' ���� `C �lF t� � ��. �� �� ��)C I.QT# �____�� <br /> 5U8DIVlSlClN �— � PARCEL 1 <br /> - -- --- - - _ - __- -_ — . __ _ --- -- - - _.._ _ ---. _(09TAIME�EROM PRO_P_ER7Y T�CN0T10E)___�______ _-- - —_____..�__.. <br /> WORK PROPOSEb e NEW CONSTR 8 ADDiA�T �,� SIGIV Q , Q DEMOLISN ; <br /> SNSTALL REPAIR <br /> PROPOSED USE . . C] SFR C] COMM � OTHER <br /> TYPE OF CONSTRUCTIQN [� BLOCK Q FRAME � STEEL [� <br /> DESCRtPTtON OF WORK t����� �`�`T <br /> BUll.QINC,StZE �— �.'� SQ FOO AGE FiE1G1{T � � <br /> � <br /> OBUILDING $ >}� /'� VA�.UATIt}N O T01'AL CO�lSTF2UCT10lV <br /> vL viCJ <br /> QEL,ECTFtlCAL AMP SERVICE CJ PROGRESS ENERGY Q W.R.E.G. <br /> QPLUMBWG E.�_____�� /���'� �, ���'� <br /> c� �j_W �'�� <br /> QMECHANICAL ��� VALUATION O MECHANICAL INSTALtATION �� <br /> � <br /> OGAS Q ROaFING � SPECIAL Q OtHER ^�1 �j <br /> �l�/ " ��G�ro�nu��-_�'D� <br /> =1NSSNED FLdOR ELEVATiONS FLOOD Z tJE AREA QYES NO � � �,� r� <br /> • �� �\ <br /> 3WLQER r j� ��/ � �COM ANY U �,�1 <br /> t�}Z���-- l./�'�3�11Y�}n~{�-� .� <br /> atGNATU1tE j REGiS RED Y/ N FEE CURRE� Y/N <br /> AddKess CEcense# �� ��� <br /> 3LECTRICIAN � COM ANY <br /> alGNATURE REGIS REO Y/ hi FEE CURREi� Y/N <br /> Address l.Ecense# � � <br /> �LUMBER COM APtY <br /> 3ltiidATU#tE REGt REO Y J N FEE CURREn Y i R1 <br /> Address �icense# � � <br /> AECHANICAL CQM ANY <br /> i1GFiATtfRE „ REG� REO Y t tV FEE CUttRE� Y 1 tV <br /> Address Ucense# � � <br /> )THER COM ANY � <br /> EIC�NATUf2E RE��s R�o � Y t iti! FEE CtlRREP Y!hl <br /> Address license# � � <br /> tESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildtng Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Nlintmum ten{10}wortcing days after submlttai date, Req Ired onslte,Construc#lon Plans,Stormwater Plans wl S11t Fenca Installed, <br /> Sanitary Fadllttes 8�1 dumpster,Site Work Pertntt for sub tvis{onsilarge proJects <br /> :OMMERCIAL Attach(3)complete sets of Building Plans plus.a Life Saf ty Page;(1)set of Energy Forms.Ft-O-W Permit for new construction. <br /> Minimum ten{10}vuarking days after submittal date. Req lred onsi#e,Constrvcflan P1ans,8tormwater PEans wl Siit Fence l�stalled, <br /> Sanitary Facilltles&9 dumpster.Site Work Permit for all ew projec#s.Ail cammerclal requfrements must meet compliance <br /> �IGN PEFlMIT Attach(2)sets of Englneered Plans. <br /> '*"PRCIPER7Y SURVEY requlred Tar alt NEW constttrc� n. <br /> Ilrectlons: ' <br /> Fi{I out applicatton campletely. <br /> Owner&Contractor sign back of application,notarized ' <br /> If over SZ50q,a Notlae ot Cammencement is required. (AIC upgra es over�T500� <br /> ' Agent{for the cantracfor}or Power af Aftomey(far the owner}would be omeone wtth notafized iet#er from owner authorizing same <br /> IVER THE COUNTER P�RMITTING (Front of Appllca8on Oniy) <br /> ,eraafs If shingles Sewers Setvice Upgrades AlC Fences{ #aUSurveylFoatage) <br /> Driveways-Not over Counter if on public roadways..nesds ROW <br />