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rs1s-irw-UUzU Ulty OT Lepnyrnins vermlt Application r-ax-o .3-1oU-UUc I <br /> Building Department <br /> Date Received P..hone Contact'for Permitting' a/ <br /> Owner's Name Owner Phone Numberj0 <br /> Owner's Address (� ; �� Owner Phone Number <br /> Fee SimplejTitleholder Name _ OwnerPhone Number- <br /> Fee SimpleTitleholder Address A <br /> } L J <br /> f <br /> JOB ADDRESS LOT# , <br /> i <br /> SUBDIVISION PARCEL•ID#. <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADDIALT 0 SIGN 0 = DEMOLISH <br /> i R INSTALL e 'REPAIR <br /> PROPOSED,*USE. = SFR 0 COIVIM = OTHER <br /> TYPE`OF CONSTRUCTION = BLOCK r FRAME = STEEL �. <br /> DESCRIPTI,'ON Of WORK <br /> BUILDING`SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ j -0 VALUATION'OF TOTAL CONSTRUCTION' <br /> ELECT' $ AMP SERVICE 0' PROGRESS ENERGY = W.R.E.C. <br /> =P,LUMBING $ <br /> •1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0, ROOFING. 0 SPECIALTY OTHER v r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> k <br /> .BUILDER i COMPANY D2 <br /> SIGNATURE �' REGISTERED Y'/ N FEE CURREN Y/N <br /> j • <br /> Address License:# <br /> ELECTRLC..IAP) COMPANY <br /> ". SIGNATURE REGISTERED Y/ N , -' -FEE-CURREN � : Y/'N. <br /> Address' - License,# <br /> V <br /> .PLUMB,ER-�? "COMPANY <br /> SIGNATURE REGISTERED Y/'N: ' " .FEE CURREN Y/N <br /> Address License# <br /> ANICAL COMPAN1f, <br /> SIGNATURE' REGISTERED Y/.N . • . FEE:CURRE� -, Y/N <br /> Address;<- = License.# <br /> :•':OTHER'., COMPANY <br /> REGISTERED Y f.-Nj FEE-CURREN Y/N <br /> Address,: " License'# <br /> RESIDENTIAL? Attach"2,.Plot Plans",'2 refs ofBuild'iri{ Flans `1"set'ofisEne 'Forms R-O=VV Permif or new,constiuction; <br /> :Minimurrlten?5(;10)working,'day$aftersufimittai,16te::'Requiretl onslte;;Constructiom Plans,:Stormuvater Plans w/Silt Fence:installed, <br /> San! %ioacllihesf&{1+,dumpster,;:SiteWorkPermitfor-_subdivisions/large'projects' <br /> EbMMERCIAL Attidi' )complete"sets of'Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&:1 dumpster.Site Work Permit fog all-new projects.All commercial requirements must meet compliance <br /> %7$LGN`:PERA�IT "Attach`=(�)sets:ofEng'ineered`Plans:+ : <br /> ""PROPERTY SURVEY required:for,.aII,NEW,constructiom, <br /> Y...,. <br /> op 'application completely. <br /> �:O.wner'&Contractor,sigmback.ofapplication,notarized <br /> If Over$2500;-a Notice:ofCommencement is required. (A/C upgrades over$7500) <br /> Agenti(for the�,65ii actor)•or,Power of"Aftomey(for'the owner)would-tie"someone with notarized letter from owner authorizing same <br /> . OVER-'.,THE-COUNTER PERMJTTING.__. (copy of>contract required) <br /> Reroofs if;shiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter if on public roadways reeds'ROW <br />