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Building Dzpallment <br /> Eate Received Phan cL�taior PermiUigg- I <br /> ' 1'ii a y <br /> Owners Name c Owner Phone Number <br /> Owner's Address J. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I �f[\�y LOT <br /> SUBDIVISION r(cx5 PARCEL 10# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8� ADDIALT —J SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR L� COMM L_, OTHER <br /> TYPE OF CONSTRUCTION �, BLOCK F7 FRAME F-7 STEEL I71 <br /> DESCRIPTION OF WORK <br /> BUILD)NG-S[ZE �� SQ FOOTAGE HEIGHT- <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ A5 � �} 4 <br /> =MECHANICAL (S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# �. <br /> ELECTRICIAN 11 COMPANY <br /> SIGNATURE REGtSTE F-a- Y1-N- - FEECURtZEF LYI N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN I YIN <br /> Addrosr <br /> MECHANICAL ,�� _ COSdPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRa Y I.N i <br /> Address License t' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED —�Y/ N FEE CURREN LYLN J <br /> Address License fP <br /> ItIIIIIIIIIItllllllltlllil1111111lIIlilllltlllllllllltllll11711101t <br /> P.-SICEM-11AL Alrarh 121 Prnl Prang:r91 eras of R,iUdinn P1ana7 III of of Er�m�.v Fn-mza:P-COM Pnrmtr f_r neu.rnneln lnrtnn. <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 Wort Permit for subdivisiensllarge 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 w/Silt Fence installed, <br /> Sanitary Facilities&'1-dump ster.Si%'No d<P-armifFdr aIt'neve ProRMs.All'toMmer^JaI iequIfements must meet compl..?-Ic9 <br /> SIGN PERMIT Allach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2600,a Notice of Commencement is required. (AIC upgrades over$7600) <br /> of <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> D&ewaya-Not-overCounteHfon public-roacWays;.needs ROW- <br />