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01J-1 uu—uuty Vi ty VI L_VtJ I I y tI It I I a t yr tt..�, q,,r.at-_ <br /> Building Department <br /> Date Received 3 U 1 Phone Contact for Permitting ( <br /> Owner's Name �� 1 I Owner Phone Number l I <br /> Owner's Address )15 Q GNU e, mm0Cc Dr tV��(�5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> :Fee Simple Titleholder Address <br /> 2 La <br /> ,, t( �y� ` t ( ( {( <br /> JOB ADDRESS aj T 5,1 U L aU're_t kafflmUC IL �1` k ((A,(t S 4" l -3� �1 t LOT# t <br /> SUBDIVISION -�U� SU dtdisi`orll ( PARCEL ID# t�-a� -a�- a�d0-.dCXoo �J)30. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R <br /> ADD/ALT SIGN 0 MOVE DEMOLISH <br /> INSTALL REPAIR J <br /> PROPOSED USE SFR COMM Q OTHER JUJI <br /> TYPE OF CONSTRUCTION • Q BLOCK FRAME STEEL Q OTHER l <br /> DESCRIPTION OF WORK ��IYl()�1� f e 1L2C2 lvi�ttj� 5 I n�0 �ij1 S <br /> BUILDING SIZE -t Y� SQ FOOTAGE C HEIGHT C� <br /> � <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION • <br /> Q ELECTRICAL 11$ — AMP SERVICE PROGRESS ENERGY CJ W.R.E.-C." ' <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA r]YES _ =NO <br /> BUILDER COMPANY <br /> SIGNATURE 1t REGISTERED / N FEE CURRENT /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# • . <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# � . <br /> MECHANICAL COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N J. <br /> Address License# <br /> OTHEROAC COMPANY i�Y1WI '�,r�,��-E WC' (3n t1C <br /> - 0 <br /> SIGNATURE �'�� REGISTERED I Y N FEE CURRENT )()/N <br /> Address l2 �3 � (iit���5 � 3�JS�{1 License# �4�� .L5. 7 l . <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,Storrn\water Plans w/Silt 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 /> DirecI nr s; <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 public roadways..needs ROW <br /> ' d' �(S t?lit;:. ` wl`<i•'`�.vA. <br />