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011-fuu-uuz-u uny or cepnyrnuis vermit Hpplicauon rax-nis-rau-uuci <br /> Building Department <br /> Cite Received Phone Contact for Permitting — <br /> Owner's Name �e �..� Owner Phone Number J5( 6 3j <br /> Owners Address 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 4pyii e <br /> JOB ADDRESS 6ekwrf �rJ� LOT# <br /> SUBDIVISION PARCEL ID# <br /> _ (OBTAINED FROM PROPERTY T�ncEf DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN <br /> El INSTALL REPAIR SNLIy <br /> !,&ROPOSED.USE = SFR Q COMM = OTHER <br /> - TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> �J DESCRIPTION OF WORK b15 ' 1 N <br /> UILDING SIZE 1 3 3 SO FOOTAGE HEIGHT <br /> BUILDING $ . /O ��� VALUATION OF TOTAL CONSTRUCTION / d <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> J I '; WiTn, <br /> tom- <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> -Z=GAS = ROOFING 0 SPECIALTY = OTHER 40 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License#' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN <br /> Address License# <br /> 11111111111111111111'11111111111111111111111111111111 '111111111111111 <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 onsite,Construction Plans,Stormwater Plans w/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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 />