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lily Ul L.eprlymills rermiiHppiica 10-10OOUG1 <br /> Building Department <br /> Date Received �- ��J't Phone Contact for Permiltin - L /7 <br /> Owner's Name /r/�/« / ^ r/ c� Owner Phone Number �( C <br /> Owner's Address '`/ /C Y J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS 11 2(T L-� J J L LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION QS BLOCK -OR <br /> �0 ,S},T�EEL Q r��y C <br /> DESCRIPTfION.OF WORK (/I •c////t��/#&C o�[ �Fl��r��7 <br /> -BUILDINWSIZE C ( /� ' SQ FOOTAGE (� HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHERiff. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO � <br /> BUILDER c COMPANY & a" <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N- <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED I Y/ N FEE CURREN LIILNJ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED. 1,Y/ N FEE CURREh <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE' 'REGISTERED Y/N .FEE CURREN <br /> Address License# <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn <br /> Address License# <br /> RESIDENTIAL Attach(2),Plct Flans;(2)sets.of Building Plans;(1)set of Energy,Fonns;R=O=W.Permit for new.00nstruction; <br /> Minimum t6r(lo)`working days after submittal date. Required onslte,Construction Plans,-Stonnwateir Plans,w/Silt Fence installed, <br /> Sanitary Facilities 1£1 dumpster,Site Work Permit for subdivisions/large projects <br /> 'COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufe,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 81 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 /> Diredtibns: <br /> Fill out application completely. <br /> Owner 8'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 oontractor).or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 0VER'THE COUNTER PERMITTING (copy of contract required) <br /> 'Rerdofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />