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s�s-7so-oozo Gity ot Lephyrhilis F�ermit Application rax-ais-�au-ooz� <br /> . Building Department <br /> Date Recelved , �j °��—� � Phone Contact for Permittin — <br /> Owner's Name �ca r! , a�` r�.�. r'1 S Owne� Phone Number / 3 Z1 � p�� ��+" <br /> � � <br /> Owner's Address ��7 yGa ba{'T�'4 � 1 L. �v .7r Owner Phone Number - � e�— �(� �'�- � <br /> Fee Simpie Titlehoider Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> f <br /> JOB ADDRESS �D C� `� .� � �� c.� � �, LOT # E� A <br /> SUBDIVISION , PARCEL ID# � � � �% ��O / Q � � DU �a L7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK Q /t, 1�C f'.,� f' t� �+ Y ST1 <br /> BUILDINGSIZE �.Z?�Y�' SQFOOTAGE�� HEIGHT �— %�L � <br /> r QBUILDING �96 -- `,�lR VALUATION OF TOTAL CONSTRUCTION <br /> � � c� �,v � �� o <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> QPLUMBING $ � <br /> �_ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INS7ALLATION � <br /> Q GAS �— ROOFING Q SPECIALTY Q OTHER �� I �� v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� � t �" e COMPANY � � � �` � <br /> SIGNATURE C.X REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREn Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRRen Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTfAL 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 FaaNties 8 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Ene�gy Forms. R-O-W Permit for new construcaon. <br /> Minimum ten (10) woricing 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 constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over j2500, a Notice ot Commencement is requlred. (A/C upgrades over 57500) <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 PERMITTINO (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubUc �oadways..needs ROW <br />