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u1a-inU-UUzU Ulty OT Lepnyrnilis vermit Hppucation <br /> Building Department <br /> z <br /> Date Received Ire �,Phone'Contact`forPermitting 70 � — 3 <br /> Owner's Name Ib(OQ't Owner Phone Number g1l 7,07, Co'?- <br /> Owner's Address ff Le.lolly%- c^ 'f �Q /ff Owner Phone Number <br /> Fee SimpleiTitleholder Name Owner,Phone Number <br /> Fee SimpleiTitleholder Address <br /> JOB ADDRESS E� <br /> �'� C, t"�l2- �oGt� cv� s� 1� LOT# <br /> SUBDIVISION PARCEL ID' <br /> # <br /> i (OBTAINED FROM PROPERTY,TAX NOTICE) <br /> i <br /> WORK PROPOSED . . NE .CONSTR` ADDIALT = SIGN 0 0 DEMOLISH <br /> RW <br /> INSTALL e 'REPAIR <br /> PROPOSED;USE• = SFR 0 COMM = OTHER <br /> TYPE`OF CONSTRUCTION' 0 BLOCK Q. FRAME = STEEL Q. <br /> DESCRIPTION OF WORK G 61-) <br /> -BUILDIPIG.SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ ( • d VALUATION*OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> G6 <br /> =P1LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING. SPECIALTY 01 C --•� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER (��+ 1LJ` COMPANY �t�� <br /> SIGNATURE REGISTERED Y'/ N FEE CURREI% <br /> Address 'License <br /> i <br /> --ELECTRI,CI'AN. ,.; COMPANY <br /> SIGNATURE REGISTERED I Y/ N . FEE CURREM , Y/N <br /> 1 <br /> Address - "LICenSe# <br /> PLUMBER,?.:. "COINPANY <br /> _SIGNATURE., REGISTERED Y/' : ' FEE CURRB <br /> Address. License#; <br /> -MECHANIC COMPANY <br /> SIGNATUREt° REGISTERED •Y/ N . FEE CURREK-. .. .' Y/N <br /> Addedisy= F77 license.#_ - <br /> ' OTHER . 'COMPANY <br /> SIGNATl1REYi:' :: - REGISTERED Y/:N FEE-CURREK <br /> d i"''.�rig•�:: -., . . - . . .. <br /> Address,;k. ,,,; ,: = s:, License <br /> w ,RESIDENTIALY^ sAttacf `2 PIokPlans 2"sets ofBuildin 'Flans; 1 set`of Ene Forms.R-O=V►/.Penrlif `r`new,construction <br /> MmimnjIem(i10),,wotkmg days afte satin ittal.date: Requi� d'onslte,Construction Plans,Storinwater Plans uv/Silt Fence.installed, <br /> ;'•.k. _„- " Sanitary„FaclliUes&�1 dumpster;'Sife;WorkPermit for•subdiVisions/large projects <br /> MMERCIAL Attic h'(2)complete"sets`of`RUilding 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,Constriction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Faculties&1 dumpster.Site Work Permit fog iill•new projects.All commercial requirements must meet compliance <br /> -, SIGWPERMIT Attach(2)s®ts,of Eng neeied Plans:; <br /> ""PROPERTY SURVEY.required.,for.a,IL,NEW,construction..' <br /> ;Direction's: .-- ,..: <br /> F11[out application completely. <br /> Owner's Contractor sign:back of application,notarised <br /> 4 r' If ovor;$2500;.a Notice.of;Commencement is required. (A/C upgrades over$7500) <br /> ?a <br /> . 'tewnei 4senk(f conaco)orPowerofAtomey(forhor)would-lie someone with notarized letter from owner authorizing same <br /> ,,.'OV.ERi O THE COUNTER PERMITT , :,.: ...(copy.oLcontract:required) "" <br /> rn.'Reroofs:if.shingles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:needs'ROIN <br />