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013-itsu-uuzu Ulty OT Gepnyrniiis vermlt Application rax-oia-iov-uuci <br /> Building Department <br /> Date Receive �.- t✓ <br /> P77h--one Contact`for Permitting, <br /> 3 / <br /> Owner's Nam® S' _ - �-I— Owner Phone Number <br /> _Z Owners Address ISI Owner Phone Number <br /> Fee Simple;Titleholder Name o OwnerPhone Number <br /> Fee Simple!Titleholder Address <br /> SUBDIVISION PARCEL ID#. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR:R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL ^REPAIR <br /> PROPOSED.USE. = SFR 0 COMM 0 OTHER <br /> TYPE'.OF CONSTRUCTION = BLOCK - 0 FRAME = STEEL Q. <br /> DESCRIPTI M OF WORK i <br /> --- •d-6 1 S--- n 1 S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> $ y VALUATION`OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> PAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y'/ N FEE CURREN _Y/N. <br /> Address 2 ]� OWC license# <br /> I <br /> `ELECTRI,ClAN. COMPANY <br /> "SIGNATURE REGISTERED Y/ N , FE&CURREN Y/N <br /> Address License# <br /> .. :PLUMBER.,, 'COMPANY- <br /> REGISTERED Y/`N FEE CURREN Y/N <br /> Address License#; <br /> MECHANIC, COflAPA <br /> AL NY. <br /> SIGNATURE''' REGISTERED Y/ N FEE CURRE7 Y/N <br /> Address License.# <br /> r'SIGNi4TURE?;::. = REGISTERED Y/.N FEE-CURREN <br /> Address: r q. <br /> - _ s - -- License'# <br /> i isESi P 1R A Ps set of Ener Forms R=0=V11 Perrriif it new,constiuction: <br /> :: < <br /> ,.: =Minimum.tepo(;1'Q);"working days after sutirtiittaladate: Requie&`onsite;'Constniction Plans;Sformwater Piansw!Silt Fence installed, <br /> Sanitary Facilities A8�1,dumpster;;Site:Work Fermit:for subdivisions/large°projects <br /> COMMERCIAL Attacti`°(2)complete sete,blBuilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit fornew 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.p�ojects.All commercial requirements must meet compliance <br /> SIGN;PERMIT Atfacfi=(2)sets;_of;Erigineered;Flans: <br /> -' M•°PROPERTY'SURVEY,required.fo[.aII,NEW,construction, <br /> 14 <br /> Fill:out application completely. <br /> Ouvner&Contractor sign-back of application,notarized <br /> If.over.$2500;.a Notice:of Commencement is required. (A/C upgrades over$7500) <br /> " A ent:for'the-'cohtractor for^Power of Attome fdr'the owner would 6e someone with notarized letter from owner authorizing same <br /> OVER;THE COUtdTERPERAAI,TTIN•G„ ..,... ,(copy of contract:required) <br /> _ ,. <br /> Reroofs if shingles ^ Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadiniays.:needs'ROW <br />