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813-78U-UUZU City of LephyrhillS Perm itApplication rax-a1a-1su-uuZ"1 <br /> Building Department <br /> Date Rec. .: - - 3 l 2 .Phone Contact`•for Permitting" (fl © Co <br /> Owner's Name Owner Phone Number <br /> v, <br /> Owner's Address Owner Phone Number <br /> Fee SimplaiTitleholder'Name Owner Phone-Number <br /> Fee SimplelTitieholder AddreslsJ <br /> JOB ADDRESS V t LOT# <br /> SUBDIVISION' PARCELID#, C'8�� '�'����-6�G�i <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR` ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL B "REPAIR <br /> PROPOSED-USE. _ ' SFR 0 "COMM, = OTHER <br /> TYPE`.OF CONSTRUCTION 0.. BLOCK 0 FRAME 0} STEEL Q/ <br /> DESCRIPTION Of WORK 313 B C)n aCl a <br /> BUIL"DINd;SIZE SQ'FOOTAGE HEIGHT-• <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =P,LUMBING $ <br /> l <br /> MECHANICAL 00 VALUATION OF MECHANICAL INSTALLATION ] <br /> =GAS Q., ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -.BUILDER COMPANY " <br /> SIGNATURE REGISTERED Y/ N-1 FEE CURREN <br /> Address License# <br /> 'ELECTRI,CIAN COMPANY. <br /> .`.SIGNATURE REGISTERED Y/ N FEEZURREN <br /> Address License:# <br /> P.LUMBE.'R; : COMPANY <br /> SIGNATURE REGISTERED . Y/ N: ` ,. FEE CURRE�- Y/N <br /> Address License#� ' <br /> :-'.MECHANICAL"-!. C.OMPANY. I <br /> SIGNATURE" ; -`" ' , / "REGISTERED Y/ N FEE CURRE� Y/N�j ® ' <br /> Address' ! W�r I M n ✓� a License.#' .� G <br /> ;COMPANY <br /> r`.'SIGNATl1RE ;r: -- "REGISTERED Y/.N FEE=CURREN LLLN <br /> Address: :b:T,. y: License'# <br /> -:RESIDENTIAL:^ 'yAtta'cfi?'2 PIoEPlans'2 sefs,of Buildiri ':Plans; ,1 set of Ener' Forms;R O=VII Perniit:for newr.coostnlction,, <br /> _j:r <br /> iwtorkin da saftefsubrriittaldate::'Required''orisite;CoristructionPlans,SformwaterPlans w/Silt Fence installed, <br /> ,,..,. p <br /> Sanitary Facilities&i,dum stir rSife;;Work Permit for'subdivisions7large�pMects: <br /> ;COMMERCIAL Attach`r(2)"complete``sets of'Buildin"g Plans`plus a l Ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, <br /> Sanitary Facilities&.1 dumpster.Bite Work Permit fcr-'all=new'0r6jects.All commercial requirements must meet compliance <br /> ;SIGWPERMIT Attaclix(20 sets of;Engineered Plans t,- -;• <br /> ****PROPERTY SURVEY_required„for0 I,NEW_.;construction.. <br /> Directions: <br /> `Flli':outapplication completely. <br /> `Owner`&-Contractor:sign:back of application,notarized <br /> If over:$2500;.a Notice-of:Commencement is required. (A/C upgrades over$7500) <br /> Agenf(forthe'contractor)for°Power of'Attomey(for'the'owner)would•tie someone with notarized letter from owner authorizing same <br /> ^.'OVER,THE COUNTER'PEfZAAITTING.,. ..,. . :(copy_of contract;required) <br /> "Reroofs if:shingles Sewers Service Upgrades A/C._. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counfer`if'on pubiic roadways::needs-ROW' <br />