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Building Department <br /> Date Received a u �. Phone Contact for Permitting 3 Nal <br /> Owner's Name �/ ' 4('1 t OL l7��• ► � Owner Phone Number <br /> Owner's Address C� � Qf 2(( I�� p ubu('n - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder-Address r-} Ave-JOB ADDRESS t [ • td ! l 6 (Ktt s F I LOT# <br /> SUBDIVISION ��� (�� C. � � PARCEL ID# ` -6bIO "1 ZOO -OtIt <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R ADD/ALT SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIRin. rA <br /> PROPOSED USE Q SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION • Q BLOCK r FRAME 0y STEEL Q OTHER' <br /> DESCRIPTION OF WORK Wt�10t3q•I � 'I.1C .Ull.{ (Q r . <br /> Ft <br /> BUILDING SIZE j �d SQ FOOTAGE HEIGHT . 1010 (o� <br /> BUILDING $ 1 6� o,� VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ :. . <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA - =YES =NO <br /> BUILDER COMPANY - <br /> SIGNATURE I REGISTERED I Y/ N FEE CURRENT r Yl /N I ' <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENTLY/N ' <br /> Address License# I �� <br /> MECHANICAL COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY .�0ANt-i�'1� <br /> SIGNATURE REGISTEREwD / N ' FEE G RENNT��(� �^�/Nc <br /> Address 3 S� 5y (Wit S t`f License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed;- <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL. 'Attach(3)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 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 /> Direcfions: <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$5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on-publid;roadways..needs,ROW :T <br />