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813 - 780 -0020 City of LephyrhiIis Hermit Application rax -bi i- ilsu -uuz, <br /> Building Department <br /> Date Received 1117EMBI- <br /> Phone Contact for Permittin <br /> Owner's Name L /7 0� 2C( / J/ Owner Phone Number <br /> Owner's Address I .�335 Owner Phone Number I <br /> Fee Simple Titleholder Name I Owner Phone Number 1 I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> SW 74 LOT # <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT I I SIGN Q n DEMOLISH <br /> INSTALL ( I REPAIR <br /> PROPOSED USE I SFR I COMM I 1 OTHER I ` L <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME M STEEL n ( I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> nBUILDING $ / / L/ , 'G' VALUATION OF TOTAL CONSTRUCTION Vo.416, <br /> 1 ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 (PLUMBING $ y nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( ;7 (/ 5 / <br /> nGAS n ROOFING n SPECIALTY I, 1 OTHER /' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 1 License # 1 <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address I 1 License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREA 1 Y/ N I <br /> Address I I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt, I Y/ N I <br /> Address I 1 License # I <br /> OTHER COMPANY I US 4 E Co, <br /> SIGNATURE rI l f1 � R ', EGISTERED ( Y/ N 1 FEE CURREt I Y/ N I <br /> Address I �Gtif /V ' 7 Q Of j� 7'j 1 c / . t+ License # I eieed 14/ 7 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />