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813 - 780 -0020 City of Lepnyrnuls I ermit Application rw -o1 - i oU -UU .I <br /> Building Department l a 61 <br /> Iv -ol Date Received °�- -z4-to Phone Contact for Permittln. S ) 3 'jQ — ■� <br /> /' ,, <br /> Owner's Name 0 6P 2fi 6 f 1 +�-� 2 Owner Phone Number /3-,27,,,3 -2223 <br /> Owner's Address 724 c 11/pi Nci c1 Owner Phone Number - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / �/ • <br /> 1 <br /> JOB ADDRESS 7p - / o2 /� n 1,Sh //9Ad d' - 2e- %v , J's Ff. 3 3 LOT # 3 S <br /> SUBDIVISION A-1 PA Pt U; 1 1A -5.e_ £STS , PARCEL ID# 33 2 5 2/-0050 -i 000 - 0 350 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN Ti MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( 1 SFR n COMM 1 1 OTHER ( I <br /> TYPE OF CONSTRUCTION n BLOCK ( I FRAME n STEEL 1 1 OTHER 1 1 <br /> DESCRIPTION OF WORK (AU S i,.) / i1 d O J fifty tIS Si d - e /S/ <br /> BUILDING SIZE - SQ FOOTAGE HEIGHT <br /> BUILDING $ /9S10. L 7 VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE , TT PROGRESS ENERGY 1 1 W.R.E.C. <br /> - <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES [] NO <br /> ilk o -24- ..• : S oN/cA <br /> W _ ,.... <br /> BUILDER � W. <br /> YL I f COMPANY if + {- � ►y�'� C FI1i C ---1-41C , • <br /> SIGNATURE " • v� REGISTERED N FEE CURRENT � Y / N 1 <br /> Address IS5A SrL .S } - Od -(o,PL 3281 ! License# lelCt50y"1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address ' License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT 1 Y/ N <br /> Address. License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <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 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 />