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s�saso-00zo City of Lephyrhilis Permit Application <br /> Building Department <br /> Date Received Phone Contact=for Permitting ' 02 <br /> Owner's Name o Owner Phone Number d <br /> OWnees Address �i�- <!/� Owner Phone Number <br /> Fee Simple�Titleholder Name: Owner Phone Number, ' <br /> Fee Simpid1itleholder Address / <br /> JOB ADDRESS 0' OW / LOT# <br /> SUBDIVISION PARCEL ID# 00200 <br /> D v o2 O <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT Q SIGN 0 = DEMOLISH <br /> B INSTALL e ;REPAIR . <br /> PROPOSED USE = SFR Q -.COMM 0 OTHER <br /> TYPEOF CONSTRUCTION [] ' BLOCK 0 FRAME = STEELe jr <br /> 0 <br /> DESCRIPTION OF WORK <br /> BUILDING$IZE SQ FOOTAGE . ..HEIGHT, •. S <br /> S - <br /> =BUILDING $ VALUATION"OF TOTAL CONSTRUCTION <br /> r <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING- = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS F FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR EN Y/N. <br /> Address 'License,# <br /> 'ELECTRI,CIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N •FEECURREh Y/N. <br /> Address` - License <br /> PLUMBER,., COMPANY <br /> SIGNATURE ' REGISTERED • 1C/ {V:'` . FEE CURM <br /> : . <br /> Address. License#:F. <br /> ,_MECHANICAL - C,OMPANY, <br /> "SIGNATURE: REGISTERED N FEE CURRB, , <br /> Address- vs LO License.# C, (� S <br /> ::.OTHERL'.'I7_.:. ;-—.--. :.Co PANY <br /> a:'SIGNATUREws:a< : •..<'• REGISTERED Y/:N FEE-CURREN Y/N <br /> Address,,. Licens"e#' <br /> :RESIDENTI'AL:,;,;'Attach r2+'Plot'P.,laris 2•sets�of Bulldiri ;Flans :1 set o'Ene�'' Forms R-`,O-W.Perrriit:for new',constiuction <br /> (•10);working pys after submitEal:date:'5:Required�'onsite;'Constructioir`Plans,Storinwater.'Plan Silt Fence installed, <br /> SanitaryFacilities;&bdumpster,S„ifeW Fork Permit.forsubd(visions/large'projects <br /> :';COMMERCIAL Attach--(2)tomplete sets'of'BUildin"g Plans plus a Life SafetyPage;(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,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit f&611-neiWoeojects.A11 commercial requirements must meet,compliance <br /> ;:i:Sl N PERMIT -Attach{27 sets;of Engineered,Plans:?s_:.':.•.�. <br /> ""PROPERTY SURVEY•requiredufor,.all,NEWconstruction..•, <br /> Fillfoirt`application completely. <br /> Owner.'&.Contractor.sign-back of application,notarized <br /> If over'$2500i.a Notice:of:Commencement Is required. (A/C upgrades over$7500) <br /> Agent,(forthe contractor or°Power:of Attome',forthe owner would"tie someone with notarized letter from owner authorizin same <br /> r ) y( ) 9 <br /> - OVER;THE COUNTERP„ERM(TTING.., :.(copy.of=contract:required) <br /> Reroofs ifali-ingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public'roadways:needs ROW' <br /> t <br />