Laserfiche WebLink
010-1ou-uufu l.rily UI Z-OP11y1111110 1 cllnn/71,Jt/uvu�lv, <br /> Building Department <br /> • i <br /> Date Received ' g j�{ t Phone Contact for Permitting Fei � --rM.I <br /> Owner's Name CJ1 MO A 6 Ms i A )S� NAY/ Qi a tb`u� Owner Phone Number —�15 �J8 <br /> Owner's Address g t ��E KL�PI S PaA41 ��r �� Owner Phone Number l ' <br /> Fee Simple Titleholder Name Owner Phone Number F � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l0 1 ( Se t�S C�h I YI r�� I S C` 1 ( LOT# <br /> SUBDIVISION S��p��S C�[er� 5I Wt( PARCEL ID# V o► o- � {)5d a.. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R . <br /> NEW CONSTR e ADD/ALT SIGN MOVE DEMOLISH <br /> INSTALL REPAIR c('., <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION • �pBLOCK FRAME STEEL OTHER <br /> DESCRIPTION OF WORK le0(L)t r ��-(i)()� �.l S �►4FC2s h�lF Shln �5 . ��� u.D(..,. , 106) <br /> 6. <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT-------------- <br /> -= 11 f, PCA T1 <br /> i •��=jjam: � <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> i <br /> 0 PLUMBING $ 74 70 <br /> 0 MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> GAS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA =YES F�NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT !� E�i N <br /> Address License# IF <br /> ELECTRICIAN COMPANY 7 <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRENT <br /> i <br /> Address License# � <br /> OTHER J /y� j COMPANY I <br /> SIGNATURE 112 I REGISTERED Y/ N FEE C RENT /N <br /> Address 6 13 54 ( '1,�1 S F l 33 541 License# I C Cc i3')5561 • . <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(16)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed; <br /> Sanitary Facilities&1 dumpster;Site Work Pemut for subdivisionstlarge 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) I " <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(P)otlSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW j J . <br />