Laserfiche WebLink
s�aaso-oozo Gity ot Lepnymius Nermit Appucauon raX-u,a-�uu-u�n <br /> � Building Department <br /> Date ReCelved phone f;ontact for Permittin — <br /> Owner's Name b�e�� � �-� ��� �1'a Owner Phone Number �� 3 � � �o / � <br /> Owners Address (X{ �� �3� • �� � � � 5 t'/ 335 z - Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � `7 �' � � � � � � I -3-�� Z LOT # �C1 <br /> SUBDIVISION ZP� �'"'�p�' � �P�Ze-.�'`�� , PARCEL ID# � �' °� � °� �I a �� ��� �� <br /> � �'� S a ���'" � � 2 �� / � �� �� �'I�oZ a (OBTAINED FROIiA PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK YE' V OO+J <br /> BUILDING SIZE � SQ FOOTAGE IG�� HEIGHT <br /> �BUILDING $ D d° VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AI�EA QYES NO <br /> BUILDER � � ,�� COMPANY il � D� � <br /> SIGNATURE � ���—' REGISTERED Y N FEECURRE� N <br /> Address ' License # � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Lice�se # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # <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 Ucense # r � <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, Co�strucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitairy Faalities & 1 dumpster, Site Work Permit for subdivisionsllarge 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) worlcing days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed, <br /> Sanitary Facllities & 1 dumpster. Site Work Permit for all new projects. Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. • . <br /> '"'*PRbPERTY SURVEY required for ail NEW construcdon. • <br /> Directions: " <br /> Fill out applicatlon �mpletely. <br /> Owner t�, Confractor sign back of application, notarized <br /> if over �2500, a Netice of Commencement is required. (AIC upgrades over s7500) <br /> "* Agent (for the c�nfrautor) or Power of Attomey (for the owner) would be someone with notarized lette� from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shir.gles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter iffo� public roadways..needs ROW � <br /> , , L ,� . <br /> , . , , t <br />