Laserfiche WebLink
e1s-iuU-Uuzu uty Ot Gepnyrnilis rermit Application rax-a w-rov-vvc 1 <br /> Building Department <br /> Date Receivdd pp. xuz�� al. � .. NO <br /> �p Phone Contact"forPermitting- <br /> Owner's Name P/Y1 I/" S Owner Phone Number : 1,03 <br /> Owner's Address . (54 I- C,{I S ) of 7%wner Phone Number <br /> Fee SimplelTitleholder Name Owner Phone Number- <br /> Fee SimpleTitleholder Address <br /> i 2 g / / 2 <br /> JOB ADDRESS 3 4 5 I(�. 0 l S / f G J�Z� LOT# <br /> SUBDIVISION PARCEL'ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> R ' INSTALL B 'REPAIR <br /> PROPOSED;.USE• = SFR 0 "COMM = OTHER <br /> TYPE'OF CANSTRUCTION' Q BLOCK 0- 'FRAME <br /> L= STEEL 0 <br /> DESCRIPTION OF WORK 7 BTU <br /> BUILDING'SIZE SQ FOOTAGE :HEIGHT. <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING' 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> 1 <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt. I/N. <br /> i <br /> Address License.#+ <br /> :. <br /> ELECTRiciAN...;., COMPANY <br /> —.SIGNATURE REGISTERED Y/ N .., FEE CURREN Y/N <br /> Address' - License# <br /> :..P,LUMBEF' 'COMPANY <br /> SIGNATURE r REGISTERED . Y.- N, ' ' :FEE CURREt. Y/N. <br /> Address License#s <br /> ,`.:'.MECHANICAL <br /> SIGNATURE COMPANY. J7IC Llf/)'?S. /�)C <br /> " '° REGISTERED Y/ N FEt;CkVkREh .:i' Y)/N <br /> Addretsv License.#' <br /> "OTHER' tom <br /> PANY <br /> SIGNATURE ,_ REGISTERED Y/.N FEE-CURREN Y/N <br /> Address.:::., : , Clcerise'# <br /> t`RESWENTIAL?F ;Attach:"2 4PIotiPlans 2`sets`of Bu'ildlri <Plans;` 1 set of Ene Forms;R`•0=1N Permit fornewr.construction, <br /> r;.;<,:,u --•.Minimum ten. 10 fworkln <br /> ,3,ci; yy:r, t99,.(;_,); 9s:daysiafte�sutirriittal:date. Required.onsit'',_C' traction Plans,Stormwater Plays W/Silt Fence installed, <br /> .. , :w: San(teryFacll(bes&31�dumpsteWorkRermitfor'subdivisions/large;proJeet's'.;; ; ' :• :, <br /> �C-.OMMERCIAL Attach-.'°complete`4 ofBuilding 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& dpster.Pite Work Permit fo�411-,new p?ojects.All.commercial requirements must meet compliance <br /> 'tSIGNcPERMIT <br /> "Attach(2)'set"s;ofEnginee�edi?lens1um <br /> 'PROPERTY SURVEY.required.;for.aILNEW_construction... <br /> Fill:outapplication completely. <br /> Owner&Contractor,sign:back of application,notarised <br /> If over,'$2500;-a Notice.of:Commencement is required. (AIC upgrades over$7500) <br /> Agent_&--- i'e�corit 66r.:)�or Power•:ofAttomey(for•the•owner)would-tie someone with notarized letter from owner authorizing same <br /> 0{VER;THE'COUNTER PERMITTING.. .•..' '.(copy.of<contract:required) <br /> :'Reroofs if,shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not^over Counter if on public'roadways.`.Adeds'ROW <br />