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Olrrou_vvzu %,fly OT L6(Aly111111b rCl 1 III I/'%PPIIGQLILIrI ---'-'------ <br /> Building Department <br /> d <br /> Date Received Phone Contact for Permitting ` — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple;Titleholder Name Owner'Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r� LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT �� SIGN " " DEMOLISH <br /> ` INSTALL REPAIR <br /> PROPOSED USE " SFR Q COMM " OTHER <br /> TYPEOF CONSTRUCTION " BLOCK 0 FRA E 107 STEEL Q. <br /> j <br /> DESCRIPTION'OF WORK <br /> i <br /> BUILDING 1SIZE SQ FOOTAGE HEIGHT:[=, <br /> I , <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION' <br /> ELECTRICAL $ AMP SERVICE " PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> =PLUMBING $ / <br /> f �G <br /> "MECHANICAL $' VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> =GAS Q, ROOFING 0 SPECIALTY " OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N_. . FEE CURREN YL/N.J, <br /> Address License# <br /> I <br /> j< �u G�'2T �2LC-c1�1 'vv <br /> ELECTRICI COMPANY-; <br /> :SIGNATURE REGISTERED N FEE CURREK:e ,-,Y"/N <br /> padre ' 3 t B '-{ p�r4G h76fi D;G u.nse# 22Z9 <br /> PLUMBER i,,, C0141PANY--.: <br /> SIGNATURE ' REGISTERED.,, Y.-/ N. `; ' FEE CURRET Y/N <br /> Address License#: <br /> MECHAN(CAL" " COMPANY <br /> SIGNATURE" REGISTERED Y/ N FEE cURREh ., . ..Y/N " <br /> Addles- License.# <br /> SIGNATURE3;.t-a! - - .. REGISTERED Y/ N FEE CURREN.-l Y/N <br /> Address License'# <br /> RESIDENTIµr; Attach`(2);PIoEPlans;'(2)sets'ofBuildirig,Pians;(1)`set'of Energy:Forms;_R,O-yllPe ngitfor new.construction,,~' <br /> Minimum ten(10),working;days:afte`csutiFliit(al<date:'Requir, onsite Construction Plans Stormivater Plans w/Sllt Fence installed, <br /> Sanitary,�Faalltles:&,1,dumpster,Site.Work Permit for§Ubdivlsions/large pioJects. <br /> r COMMERCIAL Attactr(2'' mplete sets bf'Building Pieris plus a Life Safaty Page;(1)set of Energy Forms.R-O-W Penult for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for 611 new_projects.All commercial requirements must meet compliance <br /> f SIGN:P.ERIWIT Attaoli(2)'s'ete;ofEn9irieered Pla'ss!.:;..:., <br /> ""PROPERTY SURVEY required for.all,NEW,construction. <br /> DifecUons: <br /> ,Fill.out_applicatlon completely. <br /> Owner&'Contractor sign back of application,notarized <br /> 'If oVer.$2500;a Notice of.Commencement Is required. (A/C upgrades over$7500) <br /> don„;.:. <br /> Agent`(forthe contractor)orPower ofAttomey(for ttie'owner)would be,someone with notarized letter from owner authorizing same <br /> OVER.THE000NTE_R_;P._ERMIT_PNG, ,..;.(copy-ofcontract,required)' <br /> +Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> _Driveways-Not over Counter if on public roadways::needs ROW <br />