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01a-Iou-UULU %,ILy U1 4_Vp11y11I1110 1 Gllllll,�IJIJllvutv , <br /> Building Department <br /> Date Received O�S Phone Contact for Permitting V `�� -- `"v� <br /> -7 (q- I `t'� <br /> Owner's Name r v` °t a + ' `6� o Owner Phone Number <br /> Owner's Address V I `/ V�- u`1 l S �I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder-Address <br /> ( I 'r <br /> JOB ADDRESS V•1 I S� V�- V1 ( r(` S 33S'l 2�- LOT# <br /> SUBDIVISION C)LA' of 2 ``�t II S PARCEL ID# �I^a�-a l -Obl� - l�E q00- OD85 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR j a J C <br /> n <br /> PROPOSED USE SFR 0 COMM = OTHE <br /> TYPE OF CONSTRUCTION LQ BLOCK 0 /FRAME 0 STEEL � OTHER <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE T77 SQ FOOTAGE 19 1 0 v HEIGHT S S <br /> BUILDING $ [�1 o/ 60 VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ lJ l V AMP SERVICE 0 PROGRESS ENERGY W.R.E.C, <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA DYES ONO. <br /> _ BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRENT YI /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I 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 /Q COMPANY ' " an mm i7n <br /> SIGNATURE _ v� REGISTERED / N FEE CUR NT ICYIN <br /> Address 13(Dq 13 3 g S�{ �he(�g R 33 54 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/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 /> D�ivevliays=Not=over"Counter-if'on public roadways..needs ROW - <br />