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813 -780 -0020 City of Lephyrhilis Hermit Application rax- 81:t- ibu -uu21 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin. — <br /> Owner's Name ` , �/ A J Owner Phone Number n -59-6 <br /> Owner's Address 1 3 c( 3 Owner Phone Number I <br /> ■ <br /> Fee Simple Titleholder Name i� � • wner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION , PARCEL ID# I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 [ (] SIGN ( DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [ SFR r[ COMM ( 1 OTHER <br /> TYPE OF CONSTRUCTION [ BLOCK n FRAME 1 1 STEEL [ 1 <br /> DESCRIPTION OF WORK I <br /> BUILDING SIZE SQ TAGE HEIGHT I <br /> BUILDING . $ C VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ 1 AMP SERVICE 1 1 PROGRESS ENE; c. [ WR.E.C. <br /> [PLUMBING $ <br /> 1 - <br /> I [ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' / ' <br /> [ GAS [ ROOFING ri SPECIALTY 1 1 OTHER _ _ <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA [YES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N <br /> Address I 1 License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address I <br /> 1 License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address 1 <br /> 1 Ucense # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N I <br /> Address , 14 U cense # / <br /> OTHER r � COMPANY '7E (� l����� <br /> SIGNATURE <br /> REGISTERED Waal FEE CURREf ram <br /> Address I 3,Y 3-< <br /> 1 License # ( I <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 /> 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 />