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vny W1 A_cFs lys 111110 1 V1 I I fit nFF11%,auvi I <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> I I1ITAaaIaBC <br /> Owner's Name *r6AA--( " 4 KAIkco K k+ALA- Owner Phone Number e4% <br /> Owner's Address I SR Vb k 9 A A(S b 9- i Owner Phone Number <br /> Fee Simple Titleholder Name Own.Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I -3-m-3"' LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE E2- SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK Utme.&M 1,11CAN F-414X t-%*C <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING 1$ 15E),o I VALUATION OF TOTAL CONSTRUCTION &,!; ' <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREJ, <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# F- <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEECURRET, LYIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LnN J <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREJ, DLLNJ <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onstle,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsllarge 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />