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va0-.uv-.- Vlly VI X-- rtJl ly..uuv . v.....•. .�..�............�.. ' <br /> Building Department <br /> Date Received — 9 Phone Contact for Permitting 0l 3 7�3a tGo9 <br /> Owner's Name V Q n r?'S+00 77=x:' Owner Phone Number IR13 l ba -'b ` <br /> Owner's Address S 5a (Rood.' ��<l�S C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> :Fee Simple Titleholder Address r I^ <br /> JOB ADDRESS S + 5a 069w oo r`��� S LOT# <br /> SUBDIVISION C��o� ` � r l l PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT SIGN 0 MOVE [� DEMOLISH <br /> INSTALL REPAIR j <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION ' Q BLO K FRAME STEEL Q OTHER Q4 <br /> DESCRIPTION OF WORK eolf n re-rooF a$ $ GU! o�. hi�c . n . S� Mew W A�Rn <br /> BUILDING SIZE V� SQ FOOTAGE HEIGHT Uf1�!(�R <br /> BUILDING $ 2 66 80 VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ J AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS F-1 ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA YES_ QNO', <br /> BUILDER . COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURRENT <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 LILN <br /> Address Licenser# <br /> OTHER 6�T 4= <br /> C! r COMPANY OpL <br /> SIGNATURE _1 I LL REGISTERED N FEE CU ENT 2� /N <br /> Address 13 S V 64 nr(I 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,.,,,_,(Front-of Application_Only) <br /> Reroofs Sewers Service Upgrades. A/O Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counterif;on public.roadways..need§ROW_ ; q. <br /> ,•I ,. -,aNi.:n�J"'N.a"r"ut.,.l�ak�..pvy.:i,•1:�r ry,�i;i�. , "r, <br />