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813-78U-UUZU c;ity ot [ephyrhilis F�ermit Application Fax-t313-750-0021 <br /> Building Department <br /> Data Received � 7 — �� Phone Contact for Permittin — <br /> Owner's Name Owner Phone Number �l� ��s �� � �� <br /> Owner's Address c5 �Q� ` A �� ��"bwner Phone Number � <br /> Fee Simple Tftleholder Name � �/ f `�° Owner Phone Number � � <br /> Fee Simple Tltleholder Address c,� <br /> JOB ADDRESS �� �Q�`( �(/ <br /> LOT # �� <br /> SUBOIVISION �— , PARCEL ID# ! l — � � — D � � D � � Z � � � " 6 s^� 1i <br /> (OBTAINED FROAA PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �] OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �L(,� Z �� <br /> BUILDING 31ZE � SQ FOOTAGE ���� HEIGHT <br /> OBUILDING I$ � VALUATION OF TOTAL CONSTRUCTION <br /> �_ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> ECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> ��� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address Ucense # <br /> MECHANICAL COMPANY '� F-� �64� �QQ. � C�i, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # (JT7c_ 1 ���✓� � 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Permit for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; S(te Worlc Permit for subdlvisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Ufe Safety Page; (1) set of Energy Forms. R-O-W PeRnit for new construcdon. <br /> Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facillties 8 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 construcUon. <br /> 'TTI I 1 � r <br /> +.......a-�.�� �n�e��r����r�����.� <br /> Dlf@Ct10115. �++ � a � �++++i �.u.�l l IiT <br /> Fill out appiication completely. <br /> Owner & Confractor sign back of applicaUon, notarized <br /> If over;2500, a Notice of Commencement is requlred. (A/C upgrades over a7500) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ormer authorizing same <br /> OVER TFiE COUNTER PERMITTING (Front of AppNcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on pubUc roadways..needs ROW <br />