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vrty yr&tyiiy►I1111t;T'erfnitApQitCatiofl Fex�137B00027 <br /> Bultding Department <br /> Date Received © Phone Contact forParmlttin <br /> 1 <br /> I Owner's Name YtGrd r _ n -P� Owner Phone Number J 3 �✓f3� 3'��� <br /> J Owner's Address 36 Owner Phone Number <br /> ljI Fee SimpiaTitiehotder Name Owner Phone Number <br /> \x_ ) - <br /> j Fee Simple Tittehoider Addre✓s�sy <br /> JOB ADDRESS •� !.3 a I m Sr z -/r ,R i 1 a _q Z - LOT#. <br /> SUBDIVISION PARCEL ID# <br /> 4 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW comet 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE Q' SFR = COMM OTHER <br /> i TYPE OF CONSTRUCTION =, B-/LOCK Q FRAME Q STEEL Q <br /> DESCRIPTION <br /> OF r / fI A10 <br /> I BUILDING SIZE j O k SO FOOTAGE © HEIGHT <br /> ! ! l <br /> =BUIL•DING $� dr 7 2, '1 VALUATION OF TOTAL CONSTRUCTION <br /> a <br /> =ELECTRICAL IS AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> { � �f <br /> ! =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER �`���� COMPANY GhJ 4 G✓N-C <br /> SIGNATURE ,,/ REGISTERED I Y J N-" FEE CURREN I Y J N <br /> �.' Address �' License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED i Y/N FEE CURREn YIN• <br /> Address Ucense# . <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N- FEE CU�RRE`Y!`N <br /> Address License#{ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREn Yl�N <br /> Address License# ( 4 <br /> I <br /> OTHER COMPANY <br /> 4l SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address r License# <br /> 4 RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms;R-0-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 /> t Sanitary Facilities&1 dumpater,Site Work Permit for subdlvislonsparge projects - I <br /> COMMERCIAL Attadt(2)complete sets of Building 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/Slit Fence installed, <br /> Sanitary Facilities B 1 dumpster.Site Work Permit for ail new projects.A0 Commercial requirements must meet compliance i <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ; <br /> —PROPERTY SURVEY required for ail NEW construction. i <br /> i <br /> r <br /> � Directions: , <br /> Fill out application completely. , <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement to required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> DrlvewaWNot over Counter If on public roadways..needs ROW <br />