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B4 r730-�Q7n Yto,.nG 7or,hiinc�No�om, nnr.ts..a r.,,n Fnv_at�_7an_nmq <br /> �. SaOdir�g Dapariment <br /> Date Received <br /> _ P.hone-Contactfor-Permitting- <br /> "'-��S"Q�u n �' 1•'d y o n a a y <br /> Owners Name in,0 L• Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ( �, <br /> JOB ADORES 1 J� r ` LOT# l� <br /> L <br /> SUBDIVISION sj�d PARCEL 10# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTRB ADDIALT LJ SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION C_:7, BLOCKS^= FRAME STEEL <br /> DESCRIPTION OF WORK r� (O <br /> BUILO1NG;%ZE �SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> ,=GAS Q- ROOFING El SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address 1 _.. _.- --------------- --------------1 license;� !• I <br /> ELECTRICIAN l COMPANY <br /> SIGNATURE REGISTERED- -Yf'N' FEECURREN- YI�t <br /> Address License# <br /> PLUhR6ER COMPANY M�CJt�e ` `sGc Pk+� <br /> SIGNATURE ^ REGISTERED N FEE CURREh Y! <br /> Addmes. ! r' License la <br /> MECHANICAL COMPANY _ <br /> SIGNATURE REGISTERED I Y/ N FEE CURRch <br /> Address License OF— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y!N <br /> Address <br /> 11111111111111111111111111It111111111111111111illllllllltllllllllll <br /> REMDENTtAt: Attarh r21 Pint Pl—:171—1t of Rrjitdinn Ptnn.a;I saf of Fnemv Forms;R•O-W Pc.rrnit fn'nee.rnn.en irrinn <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stomtwa!er Plans w!Silt Fence installed. <br /> Sanitary Facilities f,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 /> Saniraty.Facinties�1'4ampsler.SZe 4Xork'�emlifia a11'nw+pro)ects.A,SI cammareSp!?equS{emsnts must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> 6. <br /> y • • . n 1 � . • 8 S <br /> Dlrections: <br /> F75 out application completely, - <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A(C upgrades over$7600) <br /> OVER THE COUNTER PEP.MITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C, 'Fences(Pfot/Survey/Fdotage) <br /> Driveways-Not-oveFCounteHf-on public readways::needs-ROW- <br />