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o�J-1UV—VVLV Vily UI I—VVIIYl11111I.7 I v1111 -e .NN.. <br /> Building Department <br /> Date Received q Phone Contact for Permitting CJ I .. -- <br /> �Uor� ovo_\-G 1 Owner Phone Number ®I <br /> Owner's Name i f <br /> Owner's Address 1�1.13L <br /> UPI li��s�I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> •Fee Simple Titleholder Address 2 ( <br /> JOB ADDRESS 3rI�C/ - UC l I Cif S�(c6 l Y 1 (kl " r I LOT# �v <br /> SUBDIVISION <br /> Sfe E1Rr1's Glen SDI 'lktj PARCEL ID# �3"a(P'al I0()-wc)U()- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR j <br /> PROPOSED USE SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION ' [] BLOCK 0 FRAME 0 STEEL OTHER <br /> DESCRIPTIONOFWORK eaf o4 (e-(ocr Qso 'W- 45 h-x(4 5k1 qqley. l' loldy.I .S 46+rc 1.'riLv-14 �n <br /> 1-(4. 1*0,1 .++ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ D Q D c) VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ Z: <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS' FLOOD ZONE AREA [ YES ONO . <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N J FEE CURRENT Y/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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address Offlq <br /> License#OTHER Q� 6((�LW� <br /> COMPANYSIGNATURE N� REGISTERFD / N FEE CURItNT N <br /> Address 3�y�3'�� 5�I {h��lS r I �J3 ( I License# <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/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 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 overCounter if•oMpublic roadways..needs ROW - <br />