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813-/SU-UUZU lrllY UI LG�,JII�I111u�o � �.��i���. .�+�+���+�.••�••
<br /> Building Department ;•
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<br /> Date Received ; � Phone Contact for Permltting �� �� -= � '•�- 1�
<br /> Owner's Name
<br /> �Se 11 �{. (W�1 CC li(Y� �1 eS KI�'� Owner Phone Number - �l�V����� f
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<br /> Owner`s Address a g S Ta�on+o ���� a F� 33�a 9 Owner Phone Number ` i�
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<br /> Fee Simple Titleholder Name Owner Phone Number ��
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<br /> Fee Simple Titleholder Address '
<br /> JOB ADDRESS � � � �s 5 �: r h�I I S - ( 3 3 Sy� � �oT# �� �
<br /> SUBDIVISION 1 PARCEL.ID# �—�w"�� � V���� 0���,��.��U -: , ,�
<br /> � � -� �(OBTAINED FROM PROPERTYTAX NOTICE) ,
<br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN � MOVE [� DEMOLISH
<br /> � - """ -` ' e INSTALL e REPAIR �� � � -
<br /> PROPOSED USE ' Q SFR Q COMM �THER � �
<br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER -
<br /> DESCRIPTION OF WORK, , ��-� bT ' (e-`o� �y 3� u��S ��'� `-b�n�� S ���� ' ,
<br /> BUILDING SIZE -SQ FOOTAGE HEIGHT " ,
<br /> � BUILDING $ !, �VALUATION OF TOTAL CONSTRUCTION , � � • �
<br /> i�I �ao . - . . ,.
<br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> Q PLUMBING $ ����`
<br /> �
<br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
<br /> 0 GAS � ROOFING 0 SPECIALTY Q OTHER •
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO
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<br /> —BUILDER— -- � ------ - - -- -_------- -— _ _COMPANY.--� ' -:. - , • -- ,
<br /> SIGNATURE � REGISTERED Y/ N . FEE CURRENT 'Y/N "'
<br /> Address _ ,License# ' ' � ' `
<br /> ELECTRICIAN COMPANY � �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT `Y/N
<br /> Address � License# ' '
<br /> PLUMBER COMPANY �
<br /> SIGNATURE • REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address License# -
<br /> MECHANICAL COMPANY "
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address ' License# -
<br /> OTHER ��/�(� COMPANY �Q� �Q�n �C-',,' �_
<br /> SIGNATURE�� GL � �"""- REGISTERED Y/ N FEE CUR ENT' Y I N
<br /> Address y SK 5 f �fli��5 r� 3 S 1 I ��License# C�I:3 Z S�(��
<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,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects -
<br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W.Permit for new construcUon.
<br /> Minimum ten(10)working tlays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must ineet compliance �
<br /> SIGN PERMIT Attach(2)sets of Engineered Plans. , �
<br /> ""PROPERTY SURVEY required for all NEW construction. , . '
<br /> Dlrections: , ,
<br /> Ffll out application completely. -
<br /> Owner&Contractor sign back of application,notarized
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
<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 PERMITTING (Front of Application Only)
<br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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