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8'f -7€;n-P.n7n. ria+,0v_ c, rh�ll�-Donn i1 r nli,c'.`�v Far_A7�_7RrifM�1- <br /> Building Daparfn)ent <br /> • Date Received P-honeContarA for-PermiKing- <br /> tt ,1 S+L -1-r a y "li sf-a t o <br /> Owner AL-,_, <br /> s Name �• N '� Owner Phone Number <br /> Owner's Address Oviner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmpia Titleholder Address i <br /> JOB ADDRESS � LOT;# <br /> SUBDIVISION - d C,4� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION C7 BLOCK <br /> •-�^[D FRAt fE r-1 STEEL F } <br /> DESCRIPTION OF M/ORK. <br /> BUILOING-SFZE- �_SQ FOOTAGE HEIGHT- <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> S56'LUMBING 5 n n <br /> it ^ k <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY Q- OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address - — — ------------ {, l:icense# F_ I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED- Y-/-N FEMRREF -Y1 N- <br /> Address i License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED N FEECURREt _YI <br /> Addroas _fl/' <br /> MEC <br /> SIGNATURE <br /> COMPANY <br /> Y <br /> 51GNATURE REGISTERED Y/ N I FEE CURRck <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y_/ N__ FEE CURREN Y/N <br /> Address License 0 <br /> lllllllllllllllllllIIIl111111111111111l11l1111111111111111111111111 <br /> RESIDENTIAL Altarh(2)P nt Piana•191 Wg nr R,lil¢fnn PiAna;11)eaf n°Ennmy Pn' P.r0A1 Pnrrnir f:now nnnem.�x.,n <br /> Minimum ten(10)working days after submittei dale. Required onsite,Constriction Plans,Storm)vater Plans)v/Silt Fence installed <br /> Sanitary Facilities&1 dumpster:Site Work.,Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constnicticn. <br /> Minimum ten(10)working days after submittal date. Required onsito,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&Y-dumpster.SZa Work Permif for all'ilew projec!s.PSi`commerc Ql regUirements musf meet cornoa.`Ice <br /> SIGN PERMIT Attach(2)seta of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fit;out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2600,a Notico of Commencement is required, (A/C upgrades over$7600) <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C -Fences(Plot/Survey/Footage) <br /> Driveways-Not-over-ColinteHf on publie ro.,dvrays;.needs ROW- <br />