Laserfiche WebLink
s�saao-oozo City ot Lephyrnilis Nermit Application Fax-til:i-7t1U-OOZ7 <br /> , , Buliding Department <br /> 7ate Received ��j � � phone Contact for Permittin — <br /> �wners Name Owner Phone Number <br /> �nrner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> � � � � �„ LOT # �� <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q Q DEMOLISH ' <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> r <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE O�J �/ V HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ �� AMP SERVICE �� � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �/ <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� <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 O'�.J "�� � �� ( <br /> SiGNATURE REGISTERED Y/ N F� cuRREn Y/ N <br /> Address � 2� �� Q License# - 3v 7� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address Licanse # <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # --� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2} Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Permii for new construction,. <br /> Minimum ten (10) working days after submlttal date. Required onsite, Constructlan Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Wor1c Permit for subdivfsions/large projects <br /> COMMERCIAL Attach (3) wmplete sets of Building Plans plus a Life Safety Page; (1) set of Energy FoRns. R-O-W Pennit for new construcGon. <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Wa►ic 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 /> Directions: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of applicaUon, notarized <br /> If over 52500, a Notice of Commencement is requlred. (AIC upgrades over s7500) <br /> *' Agent (for the co�tractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner author(zing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcatbn Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />