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slaasa oo2a City of Cephyrhiils Permit Application �aX alsaaauo�l <br /> d 5 Building Department <br /> Date Reaehred Phone Contaot for Permitting - _ <br /> EEcaas[a ;7 2aa%a ' <br /> Owner's Name faof1 , rh 0% ba S n Owner Phone Number 0 L r <br /> Owners Address 3'l C�2 LCSdI'S Av L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� �W+5 oovl' LOT III, <br /> SUBDIVISION PARCELID9 �`1 2-� -ZI - n�OO'OC)M- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK -,'--C() Ll h4- DL,4iz+- ,�Q440n <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 C' -LO, AMP SERVICE = PROGRESS ENERGY .= W.R.E. . <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> _ <br /> GAS = ROOFING = SPECIALTY = OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address /� License# <br /> SELECTRICIANIGNATURE ✓ REGISTERED <br /> COMPANY �A��q�/.,NLELII-T4c_CURREN& ` /N O <br /> Address license# E�1��`J1`j`166 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L1/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Ly/N <br /> Address I License# <br /> #aI[aaaaItaaAaaaaaaaaaaaallaaaaaaaaalaaIa11aaaaaaIaaaaaa9aa2aIaaaaliaaaal <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;.(1)set of.Energy Forms:P--O-W Permitfor 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 Permitior 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,Stormwater 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 /> Dlroettarts <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over SMO,a.Notiae ofCommeneementis required-(A/C upgrades.over.$I608). <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />