Laserfiche WebLink
61J-10U-UUZU Ulty OT Gepnyrniiis vermlf,Applicatlon rax-o'io-iou-uuc� <br /> Building Department <br /> j <br /> Date Received <br /> Phone'Contact`for Permitting- --7 <br /> Owner's ame ;--)7,� ;•�"'-z,�//� Z Own®r,Phone Number <br /> Owner's AdelIIALr f 167 s(h �G►►� ' \A. .,�e 1 a Gt Owner Phone Number <br /> Fee Simple,Titleholder Name Owner Phone Number' <br /> Fee SimplerTitleholder Address <br /> JOB ADD + 7 1/= G" L ✓ �Zi= I l 1�i(�J L-3 /LOT# <br /> SUBDIVISION F PARCIEL ID#. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH <br /> e INSTALL 8 `REPAIR <br /> PROPOSED,USE. = SFR Q COMM = OTHER <br /> TYPE.OF cONSTRUCTION = BLOCK Q. FRAME.1.' STEEL Q <br /> DESCRIPTION OF WORtC - I SP f p- <br /> BUILDIf�Cv;�IZE SQ FOOTAGE HEIGHT - <br /> =B.UILpING <br /> ` �.r VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / 0a 0, AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =P,LUMBING Is � C)0, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !, <br /> =OAS = ROOFING Q SPECIALTY = OTHER (�/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Y ' <br /> COMPANY �( i <br /> SIGNATURE hh �(� REGISTERED Y/ N FEE CURREN Y/N <br /> Address Q G J 46 License.# C 5'Z 7� <br /> ELEC.TRI,COAN. COMPANY ✓ �.O G <br /> SIGNATURE REGISTERED Y/ N E FE CURREN Y I N <br /> Address l�aSCJ .L ZCJ l g bl �031kl License# -C +!3 O 0,5 2 <br /> PLUMBER. / ^� COMPANY <br /> SIGNATURE REGISTERED Y/ CUR EN Y/N <br /> Address �/�h'I ' 1 s�✓ �L Z .�� License# <br /> lzlG!{ 1. <br /> �:.WIECHANI C�C"' .C,G' � COMPANY. � �I-Yyt•! <br /> " SIGNATURE'' REGISTERED Y/ N FEE CURREN Y/NN / <br /> Addressi: U �. �. ��bd' License.# <br /> OTHER 'a COMPANY <br /> "SIGNiJ;QRE ;z: : : REGISTERED I Y/.N FEE CURREN L Y/N <br /> AaaP®ss{:� License'# <br /> , . <br /> :=RESIDENTIAi. Attacfi'f(2)3RIoEiPlans{2)`sefs of Buildirg-Plans;(1)sefof Energy.Forms;.R-0=V1l:Perrriitfor_new.constiuction; <br /> :. <br /> ;Minimum;te iiiittaledate.:,Required onsite;COns`tn`ction Plans;:S­ to <br /> rmwater Plans w/Silt Fence installed; <br /> Sanitary,Facilities&1,,dumpster;;Site_Wp*Permitforsubdivisions/large'projects' >: <br /> COMMERCIAL Attach(2)completeisets'of luilding PI'ans 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 R_1 dumpster.Site Work Permit for all�new-projects.All commercial requirements must meet compliance <br /> IGNTERMIT Attach"(2)sets,of,Engineered Plansr - °: .c <br /> ""'PROPERTY SURVEY,required_for.all,NEW construction.. <br /> Fill bbt:appiication completely. <br /> 'Owner&Contractor sign.-back of application,notarized <br /> If over.$8500;.a Notice.of:Commencement is required. (A/C upgrades over$7500) <br /> A ent_for the cont`racto�°or'Power•-ofAttome for'the'owner would lie someone with notarized letter from owner authorizingsame <br /> ,':OVER.THE COUNTEWPERM TTING,; .,(copy..of.contract-.required) <br /> Reroofs if shiingies Sewers_ Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public'roadways-needs ROW <br />