Laserfiche WebLink
813-7e0-0020 : .I�I City;ofjZepliyrliills;PermitApplication Fa"13a80-0021 <br /> BuildingDepartment I <br /> lDateReceived (IJt7° — J • +I <br /> I :•'+; 7: Phone Contact forPermro( I r g' <br /> '�i,Ilia;I I I 1 1, <br /> Owrier's Name i; /L d•:, Owner Phone Number I3— a <br /> .! I i 37�9 �OPCZANO �Q. Owner Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address �s / <br /> JOB ADDRESS 3 49 Lopc_-z 4"'/� <br /> ^D DKo` LOT# <br /> SUBDIVISION CoL�7 PARCEL ID# '®©6_0391 <br /> (go—on©0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 0 WORK PROPOSED e NEW <br /> CONSTRB REPAIR SIGN = = DEMOLISH it <br /> INSTALLPROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK E (,AC— / <br /> BUILDING SIZE SO FOOTAGE . . . ©V HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS � ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/�lN� <br /> Address ED License# ` 3t�loalo <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building 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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> rrrrrr � rr � � rrr � rr � r � � � � � � rrrrrrr � � � r � r � rrrrrr � � r � rrrrrrrr � rrrrrrrr � rl <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(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 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />