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Building Department <br /> I <br /> Date Received a q Phone Contact for Permitting <br /> �} <br /> Owner Phone Number °8'( '� �.0-1 i <br /> Owner's Name e-,baCo- 4 I"n ccd 14 <br /> I I <br /> Owner's Address I��D �� 7 r 1 LS R 3t 5� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder-Address <br /> I CII I <br /> JOB ADDRESS l0 �T. n LOT# <br /> SUBDIVISION <br /> I trrUfS: PARCELID# al -al �or:� - ooyoa o( 30 <br /> ERTYTAX <br /> WORK PROPOSED NEW.CONSTR AD[ 0 (OBTAINED F PROP EI <br /> SIGN MOVE DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 'COMM 0 OTHER <br /> TYPE OF CONSTRUCTION I BLOCK 33 <br /> FR ME Q STEEL OTHER <br /> DESCRIPTION OF WORK �Ctlb f'e-��� s t C- UgL. . I`IIO0b-� <br /> Sf lt .SlopQ <br /> BUILDING SIZE. • SQ FOOTAGE HEIGHT <br /> d BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> t 17 .g•l3 b.b <br /> 0 ELECTRICAL $ AMP SERVICE PROGRESS ENERGY. Q W.R.E.C• <br /> PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> ___BUILDER--- - - - -- - — ,COMPANY <br /> SIGNATURE ,REGISTERED I Y/ N FEE CURRENT Y�/N - I : <br /> Address License# <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE `^" — REGISTERED / N FEE CIARENT /N <br /> Address 3�P1( sK S q V 1 S Ft 3 3 5 y License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fob new construction, " <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomiwater Plans w/Slit 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 Form-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 /> Driveways-Not over Counter if on,'pubiic roadways..needs ROW <br />