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I+ <br /> 813-78U-UUZU city ot-Lepnyrnlus Vermit Application t-ax s13,tsu-uuz, <br /> Building Department <br /> I <br /> Date Received r- <br /> Phone.Contact for Permitting ( b <br /> Owneds Name L Owner-Ph one..Number <br /> Owner'sAddress � /V:14 �(/�l fv/ '� ''/Gv <br /> e Owner Phone Number , <br /> ;Fee.Simple:Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress ram, <br /> -JOB ADDRESS' f 4)m 5 G . ! J,3 5 :" LOT# <br /> SUBDIVISION PARCEL'ID#. ' 4120 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT SIGN = �• DEMOLISH <br /> e INSTALL 8" 'REPAIR. <br /> PROPOSED USE SFR = COMM' OTHER i <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL = i <br /> DESCRIPTION OF-WORK lJ1 �J�J <br /> I Ln <br /> SUILDING:SIZit SQ FOOTAGE' HEIGHT <br /> t <br /> =BUILDING: $ <br /> vOU VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY <br /> =PLUMBING Is <br /> OMECHANICAL $: VALUATION OF MECHANICAL INSTALLATION <br /> =.GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS: FLOOD ZONE AREA =YES NO <br /> BUILDER / COMPANY <br /> SIGNATURE �I/vGlrl REGISTERED Y/ N FEE CURREN, I Y/N <br /> Address License# <br /> ELECTRICIAN• COMPANY <br /> SIGNATURE REGISTERED YJ N _j FEE CURREN, Y/N' <br /> Address License# <br /> 'PLUMBER. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN j Y/N. <br /> Address License#. <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License.# <br /> I <br /> OTHER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN Y./N` ' <br /> Address License# <br /> 1 1 .1 L1 I -I. I; I f_1 11 I.I 1 L.I I I I 1 I .1. I I I I v I 'll ,1 1"1 1 1 1 1 1 1 1 1 11 1 1,1 1 .1, 1 1 111I;I L-1 u I I I I 11-U11 <br /> RESIDENTIAL Attach(2)Plot Plans;'(2)sets•ofBuilding,Plans;.(1),set-of Energy Forms;R-O=W,Permit for.new"construction, <br /> ,Minimum ten.(10)working;days after submittal.date. Required onsite,.Constnictiori.Plans,Storrriwater-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)wo�6g.days after submittafdate. Required onsite,Construction,Plans,Stormwater-Plans w/Silf 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 /> —PRO_ PERTY SURVEY;required'for all"NEW.construction. <br /> ■ ■ .. .-. . :. .- ■ .i. . . . . <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 Counterif on public roadways..needs ROW <br />