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a�3aso-oozo c;ity ot�ephyrnuis Nermrt Hppncauon rax-aie-iau-uun <br /> Building Departrnent <br /> Dffie ReCeived Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Tkleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISiON PARCEL ID# <br /> (OBTAINED FROM PROVERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q B�OCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTA(iE� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QEIECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ 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 REGISrs�D Y/ N �E c.�mr�n Y/N <br /> Address Llcense# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE rtEG�57ERED Y/ N FEE CURREn Y!N <br /> Address License# <br /> PLUMBER }�f �`�,�J �,`J�Q�v�C.-� COMPANY 1 S �l1\\0.(�S � I'C�� �`^" ""� <br /> SIGNATURE �''���� rt�Gl5t� N �EE cuRREn N l�� <br /> Address S�C;P)�T►nst Z-riillS,� 3�iUa Ucense# � i'1�J�U� <br /> MECHANICAL � � COMPANY <br /> SIGNATURE aEGISTEREO Y/ N F�CuRREn Y/N <br /> Addross License# � <br /> OTHER COMPANY <br /> SIGNATURE rtEGiS7EREO Y/ N �Cuar�n Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sels of Building Plans;(1)set of Energy Fortns;R-O-W Permit for naw constructlon, <br /> Minimum ten(10)working days aRer submHfal date. Required onslte,ConstrucUon Plans,Stormwater Plans w/Silt Fence histalled, <br /> Sanitary Fadlitles 81 dumpster;Site Wwk Permft for subdivisionsllarge projecls <br /> COMMERCIAL Attach(3)complete sels of Buildinp Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit Tor new construcNon. <br /> Mi�mum ten(10)ywrking days aiter submitfal date. Requfred onslte,Construdion Plans,Stortnwater Plans w!Stlt Fence installad, <br /> Sanlfary FadBdes 8 1 dumpster Site Work Permit for all new proJeds.All oommerdal requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> "••PROPERTY SURVEY required for ail NEW construcdon. <br /> Dfroctions: <br /> FIII aut applicatlon�mpletely. <br /> Ovmer 8 Contrector sign back of epplicatlon,notar¢ed <br /> If over 52300,a Notice of Commencemant is requirad. (AIC upgradas over 57500) <br /> " Apent(for the contractor)or Power of Altomey(for the owner)would be someone with rafartzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on puWic roadways..needs ROW <br />