Laserfiche WebLink
s�saao-oozo City ot Lephyrhilis Nermit Application Fax-t313-780-0021 <br /> , Building Department <br /> Date Received ��'� —� Phone Contact for Permittin �� � 3 3- 7Z� <br /> Owners Name Owner Phone Number <br /> Owners Address �(or�lv :J��� S�?"CG� Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number � � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS f (v� G� � �� �5�7_/�� . LOT # � <br /> SUBDIVISION �, PARCEL ID# �� ^ v?�c. °.� r ' U y�C�" �l/ 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDIALT � SIGN Q Q DEMOLISH . <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR ��� COMM 0 OTHER N.- 7 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK /iVS,Ti9'GL /�F /� /G� �� L �� L �0�//UL D(�G' <br /> BUILDING SIZE SQ FOOTAGE ���0 HEIGHT �k�ST/�� <br /> S �.�,�� <br /> QBUILDING $����� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING I$ � �► . ��� e'� <br /> �— U� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> GAS ROOFING SPECIALTY OTHER C � 1 <br /> 0 o O o �(i1� <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 License # �— <br /> MECHANICAL COMPANY <br /> SIGNATURE � GISTERED Y/ N FEE CURRE� Y/ N <br /> Address . License # � <br /> OTHER ,�` � L � ` ��� �` COMPANY I/�l PL� C."I�GcJ!(� G�O'C� �/�C.�G �/V <br /> � L c, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 3"� ' .S� � � License # �� ��J S/ �.� 7(J� <br /> RESIDENTIAL Attach (2) P�ot 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, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faciltties & 1 dumpster; Site Wortc 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 far new consVuctlon. <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 /> Directtons: <br /> Fill out application completely. <br /> Owner 8� Confractor sign back of applicaUon, notarized <br /> If over s2500, a Notica of Commencement is required. (AIC upgrades over 57500) <br /> ** Agent (for the contractor�•'6'r Powe� of Attomey (for the owner) wouid be someone with notarized letter from owner authorizing same . <br /> OVER THE COUNTER PERMIITING (Front of Appliption Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />