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aIJ-IUU-UULU VILy VI L-VV11y I I1111Q I VI 1111LI h.nvu�lv1 <br /> Building Department Date Received l <br /> U ' � -- �� =L <br /> �0 . Phone Contact for Permitting Va <br /> Owner's Name n, 1 Q IVe� Owner Phone Number A 13 r1 e6 -0 6q <br /> Owner's Address 35) V\I II s I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> :Fee Simple Titleholder Addressa <br /> JOB ADDRESS v� l3 e- `�`� t S LOT# V <br /> SUBDIVISION Sv(1Si-,t Es+c)eS PARCEL ID# !,�-�f'D-al - d3i bU -(�g•`(4 ... <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR e ADD/ALT SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR e,2 r 1 w C <br /> PROPOSED USE Q SFR COMM Q OTHER l J <br /> TYPE OF CONSTRUCTION Q BLOC 0 FRAME Q STEEL .'OTHER <br /> DESCRIPTION OF WORK '(�.Mou C- 1 A5+0-11 I( Sin It 11.un 1010 I . d �i/)tn. Sd p� .2��'�f J 0 � <br /> / <br /> BUILDING SIZE /�0 II��v SQ FOOTAGE[:7 HEIGHT <br /> BUILDING $ �\ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ V V AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. . <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION tN <br /> GAS ' ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES Qj <br /> BUILDER WOv o� -1 y� �7`J� COMPANY urY1Q n COn�tl(.1Gt 101� 1�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Cy/N <br /> Address1 ,3 `((3 Je 54 -10 License# C6c.(S l 9 11 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LY/ 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 REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# L _ •-' 1 - . <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 me eet complianc <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 CQUNTER:PERMITT,ING.:. (Front of Application Only) <br /> ReroofsA'. Sewers- 5eniice;,l7pgrades A/C Fences(Plot/survey/Footage)...,,.,,,—.-- <br /> Driveways-Not over'Counter if on pplj lic'r6adways..needs ROW , • �,..-.. <br />