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ts�s-ieu-uuzu City OT Lepnyrnins hermit Application ' <br /> Building Department_. .: <br /> Date Received <br /> .;Phone Contact:for Permitting--, <br /> Owner's Name /c7wer Owner Phone Number <br /> Owner's Address O�6�0, o.%O S46-rZt ��l .J ,r3 :r Owner Phone Number <br /> Fee SimplejTitleholder Name' OWndr•Phone Number' �- <br /> Fee SlmpWTitleholder Address <br /> JOB ADDRESS 3/�6S ! 7VI V� LOT# <br /> SUBDIVISION ze lP C d CO.LGai. PARCEL ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR` ADD/ALT = SIGN Q 0 DEMOLISH <br /> INSTALL e :REPAIR <br /> PROPOSED,USE = SFR 0 COMM 0 OTHER ' <br /> TYPE'.OF CONSTRUCTION' BLOCK 0. ,.FRAME = STEEL 0 <br /> f <br /> DESCRIPT(ON`OF WORK /�>!�✓ �e <br /> BUILDING;SIZE _!�_3 *_x S2 SQ FOOTAGE � / ..,HEIGHT <br /> • ��/ <br /> .; <br /> I <br /> =BUILDING $ �3p4el I <br /> 0d VALUATION'OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL $ 7Udv AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ zO0 �} p <br /> =,MECHANICAL $ / .� VALUATION OF MECHANICAL INSTALLATION <br /> =;_GAS 0, ROOFING 0 SPECIALTY = OTHER d i/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> i <br /> , <br /> f <br /> :BUILDER COMPANY uG <br /> SIGNATURE REGISTERED I Y/ N' '-' FEE CURREN <br /> Address -License;# ����� D <br /> , <br /> ELECTRICIAN COMPANY � yS Y4T1G <br /> SIGNATURE REGISTERED Y/ N • FEE�CURREN <br /> Address License# <br /> s <br /> PLUMBER,?, 'COMPANY C Q�i!!P1 ��ie3 l <br /> -SIGNATURE ` REGISTERED 41, Y•/-N- FEE CURREP <br /> Address License#: C 14 ��Gi� � C7 <br /> .MECHANIC COMPANY. <br /> SIGNATURE'' REGISTERED Y/ N FEE.CURRER <br /> Addressor- License.# ce <br /> :;OTHER'; COMPANY <br /> SIGNATUREY,,+s : -_ REGISTERED Y/.N FEE CURREN <br /> License# <br /> <RESIDENTIAI: ,:-Attach"f2)Plot;Plans;'(2)'sets^of Building Plans;(I=)sef of Energy Forms;R=:0=U11 Permit Jor new,constiuction;, <br /> Mlnimumtero,(10)aworking'ilaySafter submitfal:date.:Requi�ed onslte'Corstniction'Plan"s,Stormwater Plans w/Slit Fence°installed; <br /> Sancta ,°Facilities&e1,.dum,ster.;-SifocV.V P:ermit:far,-subdivision0- e' ro ects.`:-= <br /> ;COMMERCIAL A6ctr'(2)complete'sets of'Building`PI"an"s-plus a Life 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,Stonnwater Plans w/Silt Fence,installed, <br /> Sanitary Facilities&:1 dumpsten:Site,Work Permit-foi all new projects.All commercial requirements must meet compliance <br /> 'i:;:StGN:PERfVIIT "Atfacli'(2)'setsofiEjigiriee�edPlans:�Y+:-::°.-,:4., _ `_'- - . <br /> ""'PROPERTY SURVEY required:for•aII,NEW,construction:. <br /> ;Fill:out`application completely.` <br /> O.wner8 Contractor sign°back of application,notarized <br /> If over$2500;.a Notice.of:Commencement-.Is required. (A/C upgrades over$7500) <br /> Agent,(fortho�contractoe)ror�Power.-of Aftomey(for"the owner)would-lie someone with notarized letter from owner authorizing same <br /> i' OVER.THE:000NTER PERMI,T7ING, -...-. ,(oopy_of.eontract-.re uired .. <br /> Reroofs;if:sliirigles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not~over Counter If on public'roadways::reeds'ROW <br />