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813 -780 -0020 City of Lepnyrnllls rei l l IIL / ypm,ciuvl ! <br /> Building Department j C C O <br /> • <br /> Date Received Phone Contact for Permittin! — <br /> 11111111111111 LILLY <br /> Owner's Name 4JGN t /Loa- y Owner Phone Number `a 13 18'a- (os <br /> S te '` , I AJR I Owner Phone Number I I <br /> Owner's Address 1 3s !V a� P' � <br /> Owner Phone Number ( <br /> Fee Simple Titleholder Namel , <br /> .I <br /> Fee Simple Titleholder Address I <br /> 3 SS a1 /V I LOT# 1 /5 I <br /> JOB ADDRESS I � �� � <br /> PARCEL ID #I • <br /> SUBDIVISION 1 0:04. ` a r , L I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN ( 1 MOVE 1 1 DEMOLISH <br /> I I INSTALL I REPAIR <br /> PROPOSED USE ( I SFR 1 1 - COMM 1)(1 OTHER 1 MC =P - <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 1 STEEL i 1 OTHER ; r L <br /> DESCRIPTION OF WORK 1J c���\ <br /> 4Q (.9' 61/4-0(..N.4- Z ice) OOJ F-....,---0-..--- 30 < y-t-k"cte. <br /> BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I <br /> • <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> a, <br /> I I ELECTRICAL $ AMP SERVICE 1 ( PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING 1 I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES 1 1NO <br /> BUILDER <br /> ` %��— -,,.�� <br /> COMPANY I,v/ �-�r�avP t-. cS r -ckx -i I <br /> SIGNATURE ((�� REGISTERED Y / N I FEE CURRENT Y / N <br /> Address <br /> I License # I v 33 3 D <br /> I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # 1 I <br /> PLUMBER C OMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I 'HIV I , <br /> Address <br /> License # I <br /> I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # I I <br /> OTHER COMPANY I • I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 1 I <br /> • <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 (3) 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 /> 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 $5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />