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rdx- o io - roU -UUti <br /> B13- 7SU -UUZU city of Lepnyrnuis rermlt Hppllcatlon <br /> Building Department <br /> Date Received Jr y ' % /4 Phone Contact for Permittin <br /> imir Ka + ` ti ' Owner Phone Number fr Owner's Name <br /> �J I 1 Owner Phone Number i <br /> Owner's Address' 53 3 4 o ` �r S <br /> Owner Phone Number 1 <br /> Fee Simple Titleholder N - .. ammo, __ <br /> 7 s Sim' - itlehoider Address I LOT # <br /> JOB ADDRESS [-- I <br /> 1 , PARCEL ID #I <br /> SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NE CONSTR r ADD /ALT 1 SIGN Q n DEMOLISH <br /> WORK PROPOSED I L <br /> INSTALL REPAIR I <br /> PROPOSED USE n SFR n COMM I I OTHER <br /> TYPE OF CONSTRUCTION n BLOCK 0 FRAME 1 1 STEEL Q 1 <br /> ; � 6 ,� ,�� 7 if../19 ro ,� ti �A t K W y <br /> ESC T ION ID (' <br /> BUILDING SIZE 1 1 SQ FOOTAGE' 1 HEIGHT I <br /> DNG $ r- ®r e o VALUATION OF TOTAL CONSTRUCTION <br /> C AMP SERVICE PROGRESS E RG (S " F-I W.R.C. <br /> nELECTRICAL $ / <br /> PLUMBING $ i r , . <br /> n 1 MECHANICAL n $ VALUATION OF MECHANICAL INSTALLATIO irt , 11 / -. <br /> 1 'GAS ROOFING 1=:11 SPECIALTY- OTHER ,,J� I/ i <br /> FINISHED FLOOR ELEVATIONS ' OOD ZONE AR. A nYES NO C 1 ' Y � 660 1 • <br /> Ail <br /> BUILDER r i i ( / i ' I ' ` <br /> 1 • • MPAt46 ® 7Z 1 Y / N <br /> SIGNATURE (Li • lk�.L REGISTERED/ N <br /> `1 � ' <br /> Address License # I <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt` I Y/ N I <br /> Address I License # 1 I <br /> PLUMBER COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address I I License # I I <br /> MECHANICAL COMPANY I I <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURREt I Y/ N I <br /> Address I I License # I I <br /> OTHER COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh I Y/ N I <br /> Address I License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forams; 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 $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />