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v:o-iuu-uvLv Vlty ui L1_1F11y111et1v Iw,,,,.: sp.r.,....n...... <br /> Building Department <br /> Date Received a 5 Phone Contact for Permitting <br /> Owner's Name y l L LQn eV o Owner Phone Number ~49"1 <br /> Owner's Address ` V ( Y 11 I S Owner Phone Number '. <br /> Fee Simple Titleholder Name. Owner Phone Number�- <br /> Fee Simple Titleholder Address <br /> j J i f <br /> JOB ADDRESS t `l. t 0� 3_� Yl!t S T) 35q a, LOT# " <br /> SUBDIVISION 56(x Sub PARCEL ID# d)-.Q a 1 )60 66)60 -a ja D : .: <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED'- ' NEW CONSTR ADD/ALT i� SIGN Q MOVE [� DEMOLISH <br /> INSTALL R <br /> REPAIR <br /> PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION - $ BLOCK t FRAME Q STEEL Q OTHER r <br /> DESCRIPTION OF WORK �Ca� ,t� (Cc-Cco J. S to F 5 r 11 n in C 7'1 �TTC {mil.10 ,,Uot <br /> BUILDING SIZE ADO � SQ FOOTAGE� !� HEIGHT 4 , Y. <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY �' W.R.E.C. ' <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA . . =YES ONO <br /> BUILDER - " COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRENT YI /N "1 <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/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY (KJti f -�inC. <br /> SIGNATURE OU 60� REGISTERED ' 11(.Yy N ' I FEE CU ENT Y/N <br /> Address' �fJ E S i (Y t �� t� i License# <br /> HHHHHH- <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/C Fences(Plot/Survey/Footage) <br /> _,-...Driveways-Not:aver:Cbunter if:on putilic roadways..needs ROW <br />