Laserfiche WebLink
813 - 780 -0020 City of Lepnyrnllis refill!' fry 4_// v f �j <br /> / <br /> Building Department � / <br /> Date Received / 1 ' ' te r V Phone Contact for Permitting 4 -- /C/ <br /> ilittee/ L %/e Owner Phone Number f -7F oz-r02-f / <br /> Owner's Name I <br /> Owner's Address I 3 1 ! &twin, . I Owner Phone Number I <br /> Fee Simple Titleholder Namel Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I i 16123 &+'v MAj A"_ 02./49 L ,✓/ri 1 ( I LOT # 1/ a <br /> SUBDIVISION 1 1 Curs /hJ /Gv I PARCE L ID #I 0a • — 6.14.--ill - .2-46- a -! /pd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 11 NEW CONSTR I I ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR , _/ CIVIL PROPOSED USE I I SFR I I COMM �s: <br /> OTHER I IVIL LI)VA- I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 11 OTHER I I <br /> DESCRIPTION OF WORK LU A.- POO". <br /> BUILDING SIZE l • ` X a-e. SQ FOOTAGE 62-3 7 5 HEIGHT <br /> BUILDING $ T 42. / 44 ' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY r I W.R.E.C. <br /> I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 {YES 1 'NO <br /> i. <br /> � ` o.Sren �I/a_v . , • .mac • <br /> BUILDER � � COMPANY <br /> SIGNATURE � REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address (t /S3( / r-A- kid's Rd a 941.4k tl License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I <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) 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 /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 H H+1 H 1 H <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 />