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rll• - . <br /> Building Department <br /> )ate Received 2 Phone Contact for Permitting 613 2(99 <br /> Owner's Name Se Owner Phone Number 7-4) <br /> Owners Address Owner Phone Number <br /> 'eF$impie'Titieholder Name �— Owner Phone Number <br /> =ee•Simple TitleiiolderAddress <br /> JOB,,�ADDRESS `/ K- 1 s Tz 33.5�4� LOT# <br /> SUBDIVISION t. ^ 2-eph. 1 l PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTIC <br /> NORK PROPOSED e NEW CONSTR 8 ADD/ALT ® SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> 1S}!' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> :il: c iPnaN of WORK 'Peolac 7 W tl� OcJ C�J���-S �FZe �Q Si C 1=L 2dI0U- <br /> 6UII_b11NG SIZE —�� SQ FOOTAGE HEIGH <br /> UILDING <br /> (� U VALUATION OF TOTAL CON RUCTION <br /> 'ELECTRICAL 1$ �� AMR SERVICE. 0 PROGRESS ENERGY Q W.R.E.C, <br /> [PLUMBING $ <br /> "=MECHANICAL S VALUATIO F MECHANICAL INSTALLATION 1 <br /> J f <br /> GAS Q ROOFING [_] SPECIALTY OTHER <br /> 1NISNED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I rod <br /> CZ <br /> e <br /> BUILDER COMPANY i e _ { =3r '1� ��r�►;�2 3 %.L <br /> SIGNATURE n - '~ REGISTERED T ICI FEE CURREN Y/N <br /> Address o'*1ANAC, >:'t- License# FE i r= C' `-f t � <br /> ELECTRICIAN COMPANY <br /> $:GIIATURE REGISTERED Y/ N FEE CURREN Y/N - <br /> 'fiddress License# <br /> .�:.l <br /> .i,$.,. <br /> : <br /> N4 ylJiI3ER. COMPANY <br /> ;31NATU.RE REGISTERED Y/ N FEE CURREN L11 N <br /> s;Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr, Y I N <br /> Address License# <br /> OTfi.ER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> } -Address � License# <br /> � t 7 , a, f--S •- f R;i g; ,,(1)ser of Ener'g e Jul a R-O-W Permit for new construction, <br /> 1 tNTtA Attach( )Plat Plr n., , e�S a. �r lct+.n: n; ,r <br /> Minimum ten(10)working days after submittal date. Required onsite,t,ansin;ctioI Plaris,Stdrmwater Plans w1 Sill Fence installed, <br /> Sanitary.Facilities& 1 dumpster; Siie Work Permit for subdivisions/large projects <br /> COfrtfiiiERCIAL Attach(2)complete sets of Building Plaits plus a Life Safety Page;(1)scat 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 /> . .. . . . . : . . . . . . . . . . . . . . . . . , . . <br /> Directions': <br /> Fill out application completely. <br /> 'Owner,&Contractor sign back of application,notarized <br /> `)f over$2600,a Notice of;C.ommencement,is required:.-(A/C upgrades over$7500) <br /> Pgent(for the contractor)"or Povrer of Attarney`(for thd'ownier)vuould,be someone with'notarized letterfrom owner authorizing same <br /> CiU�:-,I?'_THE COUNTER PERMITTING .(copy,of,contract.required). ": <br /> i?enptiKts If shingles Sewers•.,, - .-Service-Upgrades'.A/C Fences(Plot/Survey/Footage) <br /> ,•,Driveways-Not over Counter if on public roadways..needs ROW <br /> `JI5' <br />