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513-7ao-020 Gity of LephyrhillS Permit Application rax-tsld-irsu-UUz-i <br /> Building Department <br /> o <br /> Date Received ..Phone Contact`forPermitting ' / p / /, <br /> Owner's Name 7�®✓I O.� Sr7d1 Owner Phone Number ��b 0 Zl��" <br /> Owner's Address" q L/ ( rat�P/ OnV Owner Phone Number �— <br /> Fee SimplefTitleholder Name, OwnerPhone.Number <br /> Fee SimpleiTitleholder Address <br /> U I JOB ADDRESS `7 4 4 �Lt b�/ �a� LOT III <br /> SUBDIVISION PARCEL ID# <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 0 SFR 0: 'COMM. = OTHER " <br /> TYPE'':OF CONSTRUCTION" = BLOCK 0 FRAME 0. STEEL Q. <br /> DESCRIPTION OF WORK , Ut` Fe4C <br /> BUILDING SIZE F �Iz3.Q FOOTAGE HEIGHT'•: 6 <br /> =B'.UILDING $ 1 VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 10 AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ 2� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY- 1 &Pw e T( Cle- <br /> SIGNATURE REGISTERED I Y'/ N, '° FEE CURREN Y/N <br /> Address U Ca Z-v License.# . A� <br /> ELECT•.,RI•CI�N COMPANY" <br /> SIGNATURE" REGISTERED Y/ N j N. <br /> Address`` license#, <br /> PLUM BE,R r; COMPANY ' <br /> SIGNATURE„ REGISTERED X/'N: ' • = .FEE CURREK ' Y/N- . <br /> Address License <br /> MECHANICAL COMPANY, <br /> SIGNATURE?,' REGISTERED Y/'•N FEE:CURREK. .. .. Y'/N' .. <br /> Address>r License.# <br /> OTHER;.. ::.::;... ..,, ;. .. COMPANY <br /> SIGNATURE:;:_:r: .: REGISTERED Y/.N: FEE CURREK Y/N <br /> License# <br /> .., .. .... ._.tee.. ........i'.i:.":- ction. <br /> tit_:':'..: ... _ ,.. .'.: . ..i—. .� .:• .-. - .. ' <br /> ::RESIDENTI�IL:` A ttacFi:`(2)Flot Plans (2•)sets'of Building'::P•.lans;(1)set of-Energy,.Forrris;uR=0=1N Permit.fornew,constu , <br /> =a a:r•- Minimum sten"=10 iiiworkin I'da's'after'sutirnitfaI.6te.-Re'wired--nsite�'Construction'Plans'Stornwater Plans w/Silt Fence installed <br /> Sancta"ry Facllitless&1rdumpstot;aSife Work:P._ermit;forsubdlvlsions/large'projects:; <br /> r:jC.OMMERGIAL AttaaFr'2`complet'e"setsrof"Buildiri `Plans plus a life Safe Pa e; 1 set of Energy Forms.IR-O-W Permit for new construction. <br /> ( ) 9 tY 9 ( ) <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fof''all-new projects.All commercial requirements must meet compliande <br /> `•S,,SIGN!=PERMIT `AttacFi°(2)setsof,.Engineered�Plans:;+.-;_ -•.�: " ' - • <br /> ****PROPERTY SURVEY.re uired.,for,aIj NEW•construction._ <br /> 'Fill:out'application completely. <br /> `Owner'&.Contractor sigrubackofapplication,notarized <br /> Af over:$2500;.a Notide:of:Commencement.is required. (AIC upgrades over$7500) <br /> r`F" Agent(for tfie�contractot')�or°Power:of'Attomeq(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER?THE COUNTER PERMITTING;_.... :.(copy.of.contract-required) ' <br /> �� ?Reroofs-if;sh ngles T`Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> 'Driveways-Not over Counter If on public'roadwaysneeds ROW <br />