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VIV- VV-vv..V Vlly VI LVtJl ly I I I$IIV 1 W&"".. .rr "v.....v.. <br /> Building Department <br /> Date Receive,fi • Phone Contact for Permitting �� W- <br /> Owner's Name �ba. n 1 r l t �I 1 Owner Phone Numb Louer U� —53�8. <br /> Owner's Address �S Mead OW00 Low � ( (h.'( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder'Address (� , r ,�'� ((� I <br /> JOB ADDRESS 3p� t 0IeaJOUL)CLA LOO 1 � I��`S Fl 3354 LOT# �a <br /> SUBDIVISION 2Q(�Ot � PARCEL ID# f 3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT SIGN Q MOVE [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION ' Q BLOCK /�( FRAME +� STEEL Q COTHE�Rp <br /> DESCRIPTION OF WORK 1 1 �V OO� v S l 5 l9 1 Q� L ►Ir �5 J rIV�Usic Un <br /> BUILDING SIZE SQ FOOTAGE HEIGHT Ct a S e <br /> BUILDING $ /\ [� o bA VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ V u lJ AMP SERVICE 0 PROGRESS ENERGY <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT i /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 7 FEE CURRENT Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address n n License <br /> '# <br /> OTHER v COMPANY W I OITMC� <br /> SIGNATURE f,� / REGISTERED Y/ N ' FEE C RENT j /N _J <br /> Address �3 S S ( '`tr �� `l 3 3 S`4I License# L .l 3 5e 3 .. <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,Stormwater 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 /> Directions: <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 />