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813- 780 -0020 City of Gepnyrniils relrllii / - %NNIIL,au (Ji U <br /> Building Department - ir( L/ 7 y <br /> Date Received 7.15 'I b Phone Contact for Permittin. a 1 [ d 2 -- 6 , <br /> Owner's Name rAA i ( t'1 'F' Pai [C( 0` 4 T(.a�` 1 Owner Phone Number ( J - 7 7C - • <br /> Owner's Address 5 ge A Wj - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' ,- , <br /> JOB ADDRESS �\ LOT # I <br /> SUBDIVISION PARCEL ID# 12--2-6 —2( - c O ~0051. 00 1 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW LONSTR I ( REPAIR ( P I o SIGN DEMOLISH <br /> L PROPOSED USE SFR ( COMM 1 ��1 OTHER ( I <br /> TYPE OF CONSTRUCTION K BLOCK ( FRAME I STEEL ( 1 OTHER 1 .{� <br /> DESCRIPTION OF WORK 9D s Y 1 1 c S -`� St, ' • c \✓L 1 `Q <br /> 1 <br /> BUILDING SIZE SQ FOOTAGE 2) 6 CO HEIGHT <br /> VGA BUILDING $ 7 1 00 VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS [XI ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 DYES 1 , INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE ) REGISTERED I Y / N 1 FEE CURRENT I Y/ N I <br /> J <br /> Address License # <br /> C t - <br /> OTHE ' 0 J COMPANY c 'M CA 1 g oo p i� SIGNA • ; -. _ 111. REGISTERED Y / N 1 FEE CURRENT Y / N <br /> Address 36 ( � <br /> f . A 5 License # Ce__C_ t 3 -S INFINI <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) 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 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 Attomey (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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />