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' aj�7a�=oazo �tty a�Zep�i�dtUs Pei�i�[�Appttcattoci: �x-sts-7ao=noz�= <br /> Building P��._ <br /> Date Received � � � ✓ phone Contact for Permitting L �J Z� <br /> Owner's Name I � Owner Phone Number � � �� �ZJ� <br /> Owner's Address `'l � uJ� ��Q� � Owner Phane Number <br /> Fee Simple Titleholder Name Owner Phane Number <br /> • Fee 51mpleTiUeholder-Address- <br /> 30B ADDRESS � L�� LOT# � <br /> � SUBDIVISION PARCEL ID# ,��C�w Z\"�W�D'�`Q Dw WI V <br /> WORK PROPOSED � NEw coNSrR ADD/ALT 0 SIGN NEo FR�OM PROPERN T�rice)DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE � SFR COMM � OTHER <br /> tYPE OF CONSiRIICTtL1Td �, $LOCrC �, FRARAE �. STEEL � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTA HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �,PL,WNISING r�(j�� <br /> � f��\/ <br /> �� <br /> ���N�� ���,��.�,,A����,������� l���"" <br /> FINISH�ED FLOOR ELEVATION� ROOFING � FLOOD ZONE A�R�A OTHE�YES NO �� <br /> BUI�.DER�.. y' COMPA{JY �}�►I L�%tJn.I� ��\.D J �',�� <br /> S(GNRTIJRE RE61S'fERED Y�P4 FEECURRE{C Y/PJr <br /> Address � (�,1 ,�IU �� �1� � ( License# y <br /> '�j �� <br /> S ELECTRICIAN ��� COMPANY �'t ���'G � <br /> t <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address �/ � License# � ��/ ��� <br /> PLUMBER � COMPANY ,(�.�'S !i��� 1 � , <br /> i SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> - Address �t C ��`!l ' � License#� (�/—�f 7�(��p iZ <br /> 7 _MECHANICAI COMPANY \N /C <br /> , SIGNATURE REGISTERED Y/ N CURRE� Y/N <br /> Address / License# �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address ' License# <br /> IIIIIIIf11111i1i11I111I11Illlllllllllllllllllti11111I1111 ( IIIIII111- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set ot Energy Forms;f2-O-W Permit for new construcCon, <br /> Minimum ten(10)working days after submirial date. Required onsite,.Construction Plans,_Stormwater Plans wl Sift Fence instalied,. <br /> Sanitary FacilRies&1 dumpster,Site Work Pertnit for subdivisionsflarge projects , <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum[en(10)working days after submittal date. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out application completely <br /> Oumer`�Convactw s`ign:haok af zjp,pEcatibn;na[arized <br /> Ifnvec,$2500,alloNce�f.CommettcemenUs requicerL-,(NG upgrades�vet..$75D0) <br /> " Agent(for.the contractor)nr Pnauer vfJlVnmey(for 2he nwner,wAu1d be someone x+hh notarized letier fmm owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />