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'Building Department <br /> 7ato Received Phone Contact for Permitting <br /> -T <br /> Jwner's Name. . �.. Owner Phone Number iLo <br /> Dwner's Address Owner Phone Number <br /> ;.�ei��Irnpie Titleholder Name Owner Phone Number <br /> .! <br /> =ee Simple Titleholder Address <br /> JOB ADDRESS �C2lam/ LOT# <br /> G z _,Z/-00 O07yoo <br /> SUBDIVISION b <br /> (OBTAINED_ FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED = NEW CONSTR 8 ADD/ALT ® SIGN Q = DEMOLISH <br /> INSTALL' REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> r,Yftf `OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL Q <br /> zEsCRIPTION OF WORK eS <br /> ,t � <br /> kf(EbING SIZE SQ FOOTAGE HEIGHT <br /> C216ILDING $ VALUATION OF TOTAL:CONSTRUCTION <br /> =ELECTRICAL i$ AMP SERVICE 0 PROGRESS.ENERGY = W.R.E.C. <br /> •=PLUMBING IS " <br /> Y=MECHANICAL S" � VALUATION OF MECHANICAL INSTALLATION <br /> :• ;=GAS = ROOFING Q SPECIALTY = OTHER <br /> '-INISHED FLOOR ELEVATIONS -� FLOOD'ZONE AREA =YES NO <br /> GUILDER COMPANY '� t�'1 ' �� <br /> SIGNATURE !� jr&,C& REGISTERED Y/ N" FEE CURREN Y/N <br /> Address r fis t o .:: �" C�'�B AN Wit- License# E,-_--. 1" <br /> �287 <br /> t LECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> 'A'Idress License# <br /> COMPANY <br /> S GNATURE REGISTERED Y 1 N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PT;IF R COMPANY <br /> A:rURE REGISTERED Y/ N FEE CURREN Y/N <br /> FAadress License# � T� <br /> "� .3�t1t1111111lllltilllllll .Ilil" tllllll.1 .11111111 -Illllllllllilllllllllt <br /> '}CC?1TIA1. - At+sr!�_(?)_P_!ot P_tans;"(?)sets of BiAldingflans;(1)set of Energy"Forms;R-O-W Permit for new construction, <br /> Minimurrrten 00)working days after submittal date. Required onsitc,Construciion-Piahs,Sto:zliw8tU1;l8is .:,r�ilp "nco Lnc;7llnp;. _ <br /> Sanitary Facilities.& 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach"(2)complete sets of Building Plans phis a Life Safety Page;_(1),Set of Energy Forms;R-O-W Permit'for new construction. <br /> Minimum len(10)_working days after submittal.date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facilities 4 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 /> Dircctions; <br /> Fill out application completely. <br /> :.,Owner&Contractor sign back of application,notarized <br /> ` ')fover$2500,a Not!ce.of Commencemonfis..requ!red_ (A(C upgradas over$7500) <br /> z gent(for the contractor)or Pourer of Attorney(for-the-owner)would,tie`someone with notarized letterfrom owner authorizing same <br /> y1`Gf2 THE COUNTER PERMITTING (copy�of contract;required):_. '. <br /> S`' <br /> if shingles Sewers Service,.pgratlas A1C Fences.{Plot/Survey/Footage} <br /> Driveways-Not over'Counter if on public roadways..needs ROW <br />