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01s-rau-uuzu Lary OT Gepnyrnuis rermlt/APPucdLIUII - - - -- <br /> Building Department <br /> Date Received phone Contefdtf6pPennitting <br /> Owner's Name Owner Phone Number <br /> OWnees Address � 4 h e Owner Phone Number <br /> Fee Simple}Titleholder Name Owner Phone Number <br /> Fee SimplelTitleholder Address <br /> JOB ADDRESS ` �ve ' / �� LOT# 7 / <br /> SUBDIVISIONPARCEL ID# a�.�bn/v �— / a-- �� 7/ <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR' ADD/ALT SIGN 0 = DEMOLISH <br /> e INSTALL B 'REPAIR <br /> PROPOSED;USE = SFR 0 :`COMM = OTHER <br /> TYPE'.-OF CONSTRUCTION BLOCK 0 ,FRAME 0. STEEL <br /> DESCRIPTION OF WORK CG C`Pi <br /> BUILDING:SIZE SQ FOOTAGE 7�f HEIGHT •. 6 / <br /> t <br /> I <br /> =B,UILDING $ VALUATIONOF TOTAL CONSTRUCTION <br /> 0 o- cv <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING- $ <br /> C <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION h <br /> =;GAS ROOFING 0 SPECIALTY = OTHER: <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> , <br /> 7. <br /> BUILDER / �C�`� COMPANY <br /> SIGNATURE /1 C/'� REGISTERED Y'/ N FEE CURREK <br /> Address �D ✓e Lice se <br /> ELECTRICIAN. :... COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE: URREN <br /> t <br /> Address' License-# <br /> P.CUMBER.. "COMPANY= <br /> SIGNATURE REGISTERED . Y/"N, ' FEE GURREA <br /> Address License#. <br /> :=:MECHANICAL COMPANY. <br /> " SIGNATURE.''" REGISTERED Y/ N FEE CURREN Y/N <br /> Address*" License.# <br /> OTHER `;: :;..:r; COMPANY <br /> .SIGNATURE :: _. •_ REGISTERED Y/.N FEE:CURREK Y/N <br /> Address, a, License# <br /> :l" a r'of Bu'MIK Plans . setbfEne Form"s R=O-]N:Pemiif or ne' ,construction;. <br /> RESIDENTIPiL? ;: .Attacha:(2)FRIot;P,ans;(2)*s is , g ,O r9Y..._ x,! <br /> sutimittal•`date."Re uirei!'onsite`Construction'Plans,`Stormwater Plans w/Silt Fence installed, <br /> ,.; <br /> ,., <br /> q <br /> Sanitar <br /> Facilities&;1+.dumpster,•;,,SifeW..orkPermit;for subdivis'ions/largeprojects' <br /> } <br /> �GOMMERCIAL Attach"(2)"Yctimplete sets'of`l3uliding`Plans plus a LI'e Safety'Pege (1)set of Energy Forms.R-O-W-Permit for'new construction.- -- <br /> f'H Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,,. <br /> Sanitary Facll(ties&1 dumpster.Site Work Permit fd��aAl=new projects.All commercial requirements must meet compliance ' <br /> :SLGN;:PERMIT Attach`(2)'sets of Epg nQe�ed Plans«,;: ,.r. <br /> "' <br /> -: PROPERTY SURVEY req uired_for,all.NEW,construction:.,: <br /> `{ ... <br /> Direction`s• .--„.:-.:;;;.� -. <br /> III application completely. <br /> ` OwnerA Contractor sign_back of application,notarized <br /> If:over,42500;.a°Notide.of Commencement is required. (A/C upgrades over$7500) <br /> Agent: owner)would tie someone with notarized letter from owner authorizing same <br /> %'.OViR THE:COUNTER'P.ERMt,TTIPIG:,....._ ..(�py.of contract.required) <br /> "'Reioofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) . . <br /> ;Driveways-Not over Counted if on.public.r`oadways;:needs-ROW <br />