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813 760 28 City Of LZeph3tffi111S Permit Application Fac-813--780,0021 <br /> Building Department l <br /> '�Dam Received Phone Contact for PermiRn+9 Y 19 ) I —v <br /> F �• <br /> Owner's Name CJ LQNi_{r yr%��y /L1L�11�1 Owner Phone Pdonb� �L r / <br /> Owm�sAddress�0-505 % Y I Ayc OwnerPhowBomber <br /> Fee Simple Tdlelwider Name l Own"Phone Ntprfber <br /> Fee SimpW TfltehotderAddress p <br /> JOB ADDRESS .1(003 9.+h AVM f �ry ,/��L T 0/ <br /> SUBDIVISION PARCEL 109 /� ��o)! d d 0 1164co 0 ' <br /> (OBMAmtEO FROM PROPOMTAX PICTICE) <br /> WORKPROPOSED e NEWODNSrtt(vJ ADDIALT p SIGN p p DEMOLISH <br /> INSTALL U REPAIR <br /> PROPOSED USE C] SFR p COMM p OTHER <br /> TYPE OF CONSTRUCTION p BLOCK p FRAME pR STEEL p <br /> DESCRIPIT.ON OF WORK r c . l& _ I Oorn r 3TQ w <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ��$ AMP SERVICE p PROGRESS ENERGY = W.R.E.C. <br /> =FLUMBING (($ <br /> 1CHANICAL $ 1 j5()'- VALUATION OF MECHANICAL INSTALLATION- <br /> =GAS M ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOODZONEAREA AYES NO <br /> BUILDER ( I COMPANY <br /> SIGNATURE t REG ID, Y J'N FEE CURFM Y!N <br /> Address (� License#r <br /> ELECTRICIAN i COMPANY <br /> SIGNA71L1RE ( REGISMW I YIN FEE cumte. I Y/N <br /> Address License#1 <br /> PLUMBER COMPANY <br /> SIGNATURE' REGMTERED Y/N FEE CURREn Y I N <br /> Address —�_. License iv Fn 7 --�,T�,, <br /> MECHANICAL COMPANY hr S rC/(-�f7� s cic -s f 1 <br /> SIGNATURE REGts7ERED I Y/N FWCURM• Y I N <br /> Address Ira i l .r, t Uwe# <br /> OTHER COMPANY <br /> SIGNATURE REGtS EKED I Y/N FEE CURREN Y/N <br /> Address Uoense.#F— <br /> ! III l! i i ! !'1 {! Ili //i i.F l.i l !i t-! ! / i l i i! 1-!,t t ! i! /1.1 1 i t-! 11 1 l l l l 1'! 1 !l i l 1'! 1 1 <br /> RESIDENTIAL Attscti.(2j Ph#PTwns;(2)sets cf Building Plans,(I)set of Energy Forms,.R-O-W Permit for;new owisUuUtion: <br /> Minimum ten(10)woftV days after submittal date.'ReWNW otsite.Cornsbuction Plans,Stomiwatar Plans v11 Sot Fence installed, <br /> San tW Facilities&1 dumpster:Site Work Pemit for subdivisiansparpe prated& <br /> COMMERCIAL. Adadt(2)complete sets of Building Piers plus a Ufa Se W I ase;(1)set of Energy Foram R-O-W Permit for nowcrorstruc6om. <br /> Minimum ten(10)vMdft days after submittal data. Requited onsits.Corstrutdim Plals;.S6omnratef Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dnarpster:Site Work Permit for all now projects.All commercial iequkemerds must meet compliance <br /> SIGN PERMIT Attach(2)sets of Flrgirteeled Plans. <br /> —PROPERTY SURVEY regnmed for all NEW corstrudion. <br /> . . . . . . . . . . . . . . . . .. . .. . . . ... . .. . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign bads of application,notarized <br /> If over$25W,a Notice ofCommencement is required. (AIC upgrades over$7500) <br /> Agent(far the contractor)or Power of Attorney(for fhe owner)would be someone with notermad letter from amw aulhon2ing same <br /> OVER THE COUNTER PERMITTING (oopy of contract required) <br /> Remofs N shingles Sewrws Service Upgrades A/C ' Fences(Ptat/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />