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813 - 780 -0020 uity of Lepnyrniiis rermitApplication rax- o1J- ioU -UUC <br /> Budding Department '3 <br /> Date Received Phone Contact for Permittin • — r <br /> Owner's Name '"0? ai C , 61 94 Owner Phone Number <br /> Owner's Address ( 2 20 A-A.1 l 0(A 3 �0 14 2-0 Owner Phone Number <br /> 'P> r( E. ( )X 1 S 2 J <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address S JOB ADDRESS 1 ` % 15 ?) S <br /> 2- LOT # <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR F ADD /ALT � SIGN Q El DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [ SFR Fi COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION [ BLOCK n FRAME NM STEEL [ <br /> DESCRIPTION OF WORK in6 1 : 11---C3t +� $ Srn 9 7 Q,V � ) W\1SC . 2c( CO'C'f 0 14n <br /> BUILDING SIZE SQ FOOTAGE' HEIGHT <br /> [BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 123ELECTRICAL $ Lk c V jc:1) AMP SERVICE ZOb 1 1 PROGRESS ENERGY [[ W.R.E.C. <br /> [PLUMBING $ V <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [GAS [ ROOFING Q SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N 1 FEE CURREN I Y/ N I <br /> Address I License # I <br /> • <br /> ELECTRICIAN A COMPANY C \- t ( e `� <br /> SIGNATURE 1. W ' ,e J..I.. X J REGISTERED I Y/ N I FEE CURREN I Y/ N <br /> Address O x 0.2I *V L. LV � 3 3 1 License # I G f 30 6 (1 . J I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I License # I I. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I 1 License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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-0-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 $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />