Laserfiche WebLink
U I.J-1UU-y- VILy VI LVrdl lyl l ltlly . v......, .�..�............... <br /> Building Department .. <br /> Date Received (� 9 Phone Contact for Permitting CJ ` I <br /> rl <br /> GJOwner's Name () � e 5 Owner Phone.Number V 3 +�8 c l <br /> Owner's Address V 1 `- (,eSS 3�- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder-Ad.dress <br /> JOB ADDRESS go� C r�Ss S� 'l V`t S ` LOT# ` I <br /> SUBDIVISION I�bn Qa S PARCEL ID# -Oa.�O� oo U'i Ko <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT �� SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION - Q BLOCK 0 F//R►►AME/I Q LS_TEEL Q OTHER <br /> DESCRIPTION OF WORK ap" f e-food a15 l�V��.l��� {1 l�''fLl,�. Roo wkV k Q II tC,L <br /> BUILDING SIZE �� SQ FOOTAGE - - __] ...4[HEIGHT (a' <br /> BUILDING $ L Vo 0o VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 <br /> PLUMBING $ �,�(��� • <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA DYES QNO'. <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N J FEE CURRENT YI /N i <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 Y/N ' <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE. l f REGISTERED Y N FEE RE/NT /N S" <br /> Address 36g13 SQ Sl (h�«S F� 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/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...v- (Frgr LofApplication Only)._, ..,-_�;, ,:::e =;,;:¢;.•,�,.,,�•.,.,,L�q. ,:,• ,;_r <br /> Reroofs Sewers -.Service;Upgrades `.'A/C.. Fences(Plot/Survey/Footage) <br /> Driveways-Not over CouPter,if on public roadways..needs'ROIN ` <br />