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Building Department <br /> Date Q I-1 Phone Contact for Permitting <br /> Owner's Name 0f nl e S 1(Y)S Owner Phone Number <br /> Owner's Address d� Y 1 'e-030�O `w 6 I It Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I ,,^ <br /> JOB ADDRESS a td� QQd.6L1 �lN 1 1( �l S LOT# . <br /> SUBDIVISION iffl�ctduxtj L—�S S PARCEL ID# 13 d l -a I o 1 4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN. = MOVE DEMOLISH <br /> e INSTALL B REPAIR Irp <br /> T✓ . . <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER <br /> DESCRIPTION OF WORK �earbl. re � a�.s �s. G�F.as hats les [✓I'�`(o�a�41 5 � e: UOL �(�` 160- <br /> 11 s. oPi� <br /> BUILDING SIZE, SQ FOOTAGE L HEIGHT <br /> BUILDING Ob VALUATION OF TOTAL CONSTRUCTION", <br /> = ELECTRICAL $ d AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> = PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING .- SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA =YES =NO': <br /> -...._BUILDER_ -...:- — - --- COMPANY_ <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N , <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <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 <br /> SIGNATURE f �[ REGISTERED' Y N FE&tURRENT Y N T <br /> Address (3 S �'1 I S 33 T I License# LT 1 5SV5 <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'Buiiding 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 /> ZVO/ <br /> .OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not.over Counter if on public roadways..needs ROW <br />