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Date Received 141 <br /> 1 Phone Contact for Permitting <br /> Owner`s Name ob,0 4 �I� Q�o4 i�- Owner Phone Number 13 t '1 <br /> Owner's Address ( S 30 Qt11 tnoc,� Dr. Ibd or Phone Nurhber�! <br /> Fee Simple Titleholder Name Owner Phone Number •' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / LIL &I qa( alo,C c Oc `hl((S. LOT# <br /> SUBDIVISION �Q F- 1�u n 1 PARCEL ID# �'a -a " UI oci <br /> '(013TA1NED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED—• NEW CONSTR ADDIALT r�� SIGN' MOVE DEMOLISH <br /> e INSTALL e REPAIR 1 ' <br /> PROPOSED USE 0 SFR". 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCI{ Q FRAME STEEL Q OTHER <br /> DESCRIPTIONOF WORK <br /> ��FF ��-�Uts� .33s ' sj�FSh;n IQSIfO�aN�I n -�;� u^nrra „�- <br /> BUILDING SIZE, SQ FOOTAGE ' 336() HEIGHT. ►�f 1 S t o ' <br /> BUILDING $ j j I C-7 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0' W.R.E.C, <br /> 0 PLUMBING $ f} <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR'ELEVATIONS- FLOOD ZONE AREA =YES ONO <br /> i t- <br /> BUILDER- COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT -Y I N <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 FEE CURRENT Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N <br /> Address ! LICense# <br /> OTHER f. - —- COMPANY.. oan - a n � h • <br /> SIGNATURE _ pp_ �f` r REGISTERED N FEE RENT. 2 IN <br /> Address' 13 �I� s q, ��i{I S t-� ��5�{� . License# �� �✓ � Y. <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(16)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 ail NEW construction. <br /> Directions; <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized -- - -if over$2500,a Notice of Commencement is required. (AIC 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 Fences'(Plot/Survey/Footage) <br /> Driveways-Not over-Counter if on vbbilC•rdadwiyk.:nbeds ROW <br />