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u1s-1au-uuzu Ulty OT Gepnyrniiis vermlt Application <br /> Building Department <br /> Date Received =.Phone'Contact for Permitting ��✓ /�� —'"��� <br /> Owner's Name G Owner Phone Number , a f� 0M, <br /> Owner's Address •(�' !7 �v Owner Phone Number <br /> Fee SimplelTitleholder Name Owner'Phone.Number <br /> Fee Simplelitieholder A ress <br /> JOB ADDRESS �© S7 ��'/ U LOT# <br /> SUBDIVISION PARCEL•ID#. ��������'O �' d���`'�v v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NSTR ADD/ALT 0' SIGN = = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED;USE = SFR Q : Comm = OTHER <br /> TYPE°'OF CONSTRUCTION BLOCK 0. F ME STEEL 0 <br /> rI J <br /> DESCRIPTION'OF WORK' �/ ^I'l c 1 J / - <br /> rIPyY s <br /> BUILDING"SIZE SQ FOOTAG :HEIGHT•• <br /> =BUILDING $ / zS ,4rV VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ [ vw AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 7 <br /> =MECHANICAL $ /� VALUATION OF MECHANICAL INSTALLATION 1 �V <br /> =GAS = ROOFING. 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> ,BUILDER COMPANY C� <br /> SIGNATURE REGISTERED Y/ N " FEE CURREN L <br /> Y/'N <br /> Address 'L-icense:# <br /> 1 <br /> ELECTRICIAN. J COMPANY' <br /> SIGNATURE REGISTERED I JY/ N ,' FEE�CURREN , " Y IN p <br /> Address' License# <br /> PLUMBER,; 'COMPANY: : �«f <br /> -SIGNATURE ' REGISTERED Y7"N•. ' . " 'FEECURR& <br /> Address �� W� Li J� '//�' ✓��e License <br /> MECHANICAL' <br /> SIGNATURE'' REGISTERED Y/-N FEE:CURREN Y/N <br /> Address License.# ..c7mC/�`�/��S'� <br /> OTHER ;:: COMPANY <br /> -SIGNATUREY REGISTERED Y/..N FEE-Cl1RREN Y/N <br /> Address:, License <br /> `�.iRESIDENTIAI.:�=�Attach;�2�PlotsPians}`2=sefs'•ofBiildiri"Plaris• 1Jset of�Ene 'Forms•R=O=W Permit^`r oew.constiuction <br /> ry,.;N,_.:. F Minimum teri 10,:workin a after'_sutirFiittal<date. Re uired'onsite'GonstN'ction'PI"ns'Sformwater Pia`s w Silt installed,ence <br /> _ ::_�-i:.:�x..,:4.- -,,: .. ,.���.P>(+.....):_,:,..._.,,g�•d.Ys. .. q P a n / F <br /> �� Sanitary�F,acilities���l�,dumpster;Sfe;Work_:,Permit:for�subdivisions/large�proJeets.=.:' -'- . .:.�- <br /> .:COMMERCIAL Attach'°t2)complete sets'of'Building Plans plus a l:Ife 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,Canstruction Plans,Stormwater Plans w/Silt Fence installed, . <br /> '`" Sancta Facilities Z£1 dum ster Slte Work Permit fog all-neuu ro ects.All commercial re uirements must meet compliant® <br /> :+SI,GNPERMIT Attach-O'sets::ofEngiiieered flans: <br /> "'•PROPERTY SURVEY,required for,all,NEW,„construction:.; <br /> rectiOnB:' s? <br /> -ill'ouI application completely. <br /> O.wnerA Contractor:sign.back of application,notarized <br /> If over$2500i,a Notiro:of:Commencement.is required. (AIC upgrades over$7500) <br /> ]4 ent'1o��tlie`coritractor°or°Power.'of Attome" fdr'the owner would lie someone with notarized letter from owner authorizing same <br /> g � � ) Y( ) 9 <br /> 0vittuTHE 000NTER�P_ERM,ITJIPIG; (copy..of contract<required. <br /> :'Reroofs if ngles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.Adeds`ROW` <br />