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e13-78D-ou20 City of Gepnyrnills Permit Application rax-ts�s-rau-vuci <br /> ° Building Department <br /> Date Received B/0 _. �� G <br /> Phone Conttctfor Permitting <br /> Owner's Name 1—'e K I�- - Owner Phone Number <br /> Owner's Address. / 0 ,2' 1 Owner Phone Number <br /> Fe®Simpl®•Titleholder Name Owner'PBone Number' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J 6 Pic e 1 LOT# <br /> SUBDIVIs o �.T�e `� /►'�`� PARCEL-ID#: <br /> (OBTAINED-FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR` ADD%ALT 0 SIGN [ Q DEMOLISH <br /> R <br /> INSTALL, e:. REPAIR <br /> PROPOSED%USE• 0 SFR Q :'COMM 0 OTHER <br /> TYPE`OF CONSTRUCTION 0 . 'BLOCK = 'FRAME 0 " STEEL .Q. <br /> DESCRIPTION OF WORK 1` v� L,,-9 �� �0 r; <br /> BUILDING SIZE SQ'FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE `'� = PROGRESS ENERGY Q -W.R.E.C. <br /> =PLUMBING $ <br /> T <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l� <br /> AS Q. ROOFING Q SPECIALTY. Q OTHER <br /> FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y•/ N, .' fEE:CURREP LUN,J. <br /> Addr®ss C. License,#' <br /> -ELECYRICIAN � - COMPANY ��"`!S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ! g 3 c0.S ware �. .P I— �+^�' 33�-y License# EC I 0 0,,V' f� <br /> PLUM:BERi. .;.. 'COMPANY: " <br /> SIGNATURE REGISTERED Y/ N;:' FEE CURREN- Y/N <br /> Address. License <br /> RAECHAiV9CAL COMPANX, <br /> SIGNATURE'.'°' `:{ ` REGISTERED Y/:N FEE;CURREn <br /> Address>,::.:.., License.# <br /> :..OTHERS':x.': COWiPANY. <br /> `'SIGNATURE REGISTERED Y/:N FEE-CURREN' LILN <br /> Address„y, f:. `License'* <br /> - RESIDENTIAI„: '•Attache(2);;Plot:Plans;(2)'sets,of`Building,Plans;(1).setof EnergyForms;rR-QWPertnitfornew;construction,, <br /> iV6nimurrlRten(1Q)i,i.kiiig days�afteE:sU-MItIA 43W."Required°orisite'Constriictiorr Plans Storrwater Plans w/Silt Fence installed; <br /> Sahlta: Facilities,&?;1; um•steG'"SI 'Work pprmit:for.'subdivisionsl)a ro acts'.',;; `='•'' <br /> COMMERCIAL Attach3�2)complete'°sets"o kllding-Plans 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,Stormwater Plans w/Silt Fence.installed, <br /> .'. Sanitary Facilities&.1 dumpster.Site Work Permit for llanew'piojects.All commercial requirements must meet compliance <br /> PERMIT Attacfi(2)sets of;Enginee eda?lans; :,_a': ,c '.,. <br /> PROPERTY SURVEY requlred:for.all,NEW construction._., <br /> FtlDbut.application-.com pletely. <br /> : 'Owner°&Contractor`sign:back of'application,notarized <br /> ifbver:$2500;.a Notice:of:Commencement is required. (AIC upgrades over$7500) <br /> gent(for°ttie-'confractor):or--Powdr,,of•Aftomey(fdr'tlie ownet)would tie someone with notarized letter-from owner authorizing same <br /> OV.ER:.T.HE:COUNTER PERM ITT <br /> IR1G..., (copy..ofwcontract4egwired) <br /> e=Reroofs ifafiIngles Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter ifon public=roadways:6&dd9 ROW <br />