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573-78o-DU20 City of aphyrhilis Permit Application <br /> Building Department <br /> Date Recelved <br /> ' •i•• �. -:'Phone Conta'ct�for-P®rmitting <br /> .7 <br /> � L <br /> Owner's Name G-c) Owner Phone Number , <br /> Owner's Address °' / `� v� 5 fi S ( Owner Phon®Number <br /> Fee Slmple.Titleholder Name'. . Owner'Phone Number' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �7 `l LOT# <br /> SUBDIVISION �Q2 -ialv�s� PARCEL-'ID#: <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK'PROPOSED NEW:CONSTR . ADD/ALT Q SIGN 0 Q DEMOLISH <br /> E1 INSTALL: B:' REPAIR <br /> PROPOSED USE- - Q SFR Q :`•COMM, 0 OTHER <br /> TYPE'OF CONSTIKICTION Q` ppBLOCiK = FRAME 0'_ ' STEEL .,=._ <br /> DESCRIPTION OF 11{IORK l�,E <br /> -BUILDIPIta 51ZE SQ'FOOTAGE=: NEIGHT <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION ' <br /> 4 <br /> r—A <br /> 1 <br /> ELECTRIC_AL $ 1 �--p p AMP SERVICE PROGRESS ENERGY Q -W.R.'E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ " VALUATION OF MECHANICAL.INSTALLATION.-e 1 <br /> a i <br /> AS Q. ROOFING 0. :SPECIALTY 0 OTHER <br /> FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER COMPANY <br /> SIGNATURE REGISTERED Y-/ N: FEE•CURREK Y/N. <br /> Address License,#` +; <br /> ELECTLRI,'-A "' -- 'COMPANY. <br /> .:-SIGNATURE- t` REGISTERED Y/ N ' '•FEE-C6RREh Y/N- <br /> Address` D �d Cl< 6�J-= •'- �- ': License# C I <br /> PLUMBEtta. CORAPANY..: <br /> 'SIGNATURE REGISTERED .:Y/--N:;%I FEE CuRREf :: <br /> Address. Licen'se:# ;' <br /> :::MECHANICAL" COWIP%APIY <br /> 41dNATURE` ' ` REGISTERED Y/•.N FEE;CURREn <br /> AaaP®ss}T', <br /> " License.#� <br /> COMPANY <br /> TURE;r w, ;; REGISTERED Y/ N FEE CURREN LILN <br /> Addrese::,,,tLicense`# <br /> ,id :r: b,Cr}:F,q;b: •9-7:: ,'.+..+' aca�`;- �.r:. ',f' _ '(. .. <br /> RE ID rl <br /> i -' <br /> S EN AL ;Atta ;'2 Plat Plans:2•'sets o.Buildliftwlans�'1 .set of Ever Forrtls R=0=1N Pefrriit for new;constiuction <br /> '..i ": ::. "• -� '; •".. .-_,..4,-• - - '-^.•T:.x.......".r...•, _ <:}'.. r;t•.':. 4✓, ..no�:c 1=.. rea';',!=.. . <br /> „r;. ;aWAimurrl ten(;1Q)yu4o�kingfdaysraftet submittal:d'ate. RegdWd°onsite,Construction Plans;StOTIT ter Plans w/Stlt Fence installed; <br /> Sanitary{F�eciltGe s&1 dumpste;.Sitd�tWurJc Permjt fb'r;subdivlsiopsnarge:projQctsi,; `. <br /> ' V W on:'R r6 IVMERCIAL AttkW(9)bmdtees P <br /> Minimum ten(10).working.days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence.,installed,. <br /> SanitaryFaclllties.&:1 dumpngneereliPster.an Site Work Perrnit for all=nevii'projects.All commercial requirements must meet compliance SIGiU RANT "A - <br /> ,- :.PE ttaor'(�seis'of:�Els:i�=;:,:;:t:� . . `; ..' , - .::. •• <br /> ""PROPERTY SURVEY requ(redfor,.aII,NE,.W constivetion.._, <br /> 1111111111111 <br /> Fill-out:application completely. f <br /> Owner.&:Contractor'sign.back of'application,notarized <br /> If:over:$2500;.a-Notide of:Commencement is required. (AfC upgrades over$7500) <br /> ent fog tti'e=contractor s <br /> ( )or Power'of Attorney°(fo�'tiie owner)would tie someone with notarized.letterfrorn owner authorizing same <br /> O,VER':THE COUNTER PERAAI�TTINC :,, .loopy of;contract regulreil) <br /> .: .,_ . <br /> ......f'stiingles Sewers :Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> `Drlveways-Not over Counter ifon'pdblic-,e6A ays needs'Row <br />