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813 C:ity ot Gepnyrnnis ren�u� nNN���a���� � <br /> Building Department y{% I' ��� <br /> ��� <br /> Date Received '' ,S� Phone Contact for Permitting o�` 7 � -- S��T <br /> Owner's Name �/�1 �7"�l/x Owner Phone Number n�.3 +'l�p� —�� a�. <br /> Owner's Address S�0 3S �� � � • Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Nurriber �_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS s� � �7 v � �'M'� ' � . LOT # ���/ <br /> SUBDIVISION ��Q� Z� PARCEL ID# f�' a'G � 40/d/'�9�d dl��'� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 MOVE � DEMOLISH <br /> � INSTALL B REPAIR <br /> PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL � OTHER <br /> DESCRIPTION OF WORK /� X yy ��Q./1 I��m <br /> BUILDING SIZE �l ��J'�7 SQ FOOTAGE '7'�T HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> '7aa�. c� o X <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> 0 PLUMBING � �pq�,�p p � <br /> �R <br /> (813) 7g8.531 <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> l �� � <br /> � GAS 0 ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES �NO <br /> BUILDER � ` i� COMPANY �� V �...7� e- • <br /> SIGNATURE �Q� � ��`t� `� <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address (� �,S �f J�0 /'� Z J • � � License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � � <br /> License # <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 $5000) <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 Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />