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813 -780 -0020 city of Lephyrhilis Hermit Application rax- di a- itsu -uuzi <br /> Building Department <br /> Date Received Phone Contact for Permittin! g ?• 8 - 5 <br /> Owner's Name ; j 0.-‘2.._D r ( vs t; / Owner Phone Number 8/ — 3 8e1— 1 /8`17' <br /> Owner's Address 9___q 3 S i RA 6 ci 1 i Owner Phone Number <br /> Fee Simple Titleholder Name . I 3-0 -5 (I r u x? Owner Phone Number I g / 3 ~ 3 8, - v " /I <br /> Fee Simple Titleholder Address I 2- / -, P), v d P Zd� 21 �- ,-35// # <br /> /t r/.2_. <br /> JOB ADDRESS 3 q y ;g( ^ L tv c c 1 / -. V / � LOT # I <br /> SUBDIVISION 2 i NC�/A) / , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 p..4- ri (J DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE r SFR n COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 BLOCK pi FRAME I I STEEL r <br /> DESCRIPTION OF WORK !c 1�cto 1i l j 30 ,p,..,_ 77 , S P k - 11, 12 S / / <br /> BUILDING SIZE 2 -5 ci - 25 / � SQ FOOTAGE 3 3 HEIGHT I /V / `D = � I <br /> DING $ oZyv cz <br /> t <br /> -�'— VALUATION OF TOTAL CONSTRUCTION <br /> r (ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY ri W.R.E.C. <br /> 1 (PLUMBING $ <br /> r (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> r r-I ROOFING rl SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I I License # I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN. I Y/ N I <br /> Address ( <br /> 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt I Y/ N I <br /> Address I <br /> License # I <br /> 1 <br /> OTHER / t. o ! l COMPANY I — 7 - 79 P /V / iiLt 5' � <br /> SIGNATURE ' ' - • REGISTERED I Y / N ( FEE CURREN j I Y / N <br /> If I <br /> Address I C t (c� U 1. r 17- 7 1 7 : 711 Iri ']I t f License # / - 1 . 3 C.P U h "j J <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 />