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Building Department <br /> Date Received Phone Contact for Permitting <br /> .............. ... <br /> Owner's Name cy A, Owner Phone Number 9 4 <br /> Owner's Address 11 45�A*?0Ad 54 ZA�i i I Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS A A-4e- 4q 15 Lotb ZePlnlrWo I kjj:j�j4'ALOT# <br /> SUBDIVISION PARCEL 0D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT F-;71 SIGN- DEMOLISH <br /> I . - <br /> NSTALL REPAIR <br /> PROPOSED USE SFR Q Comm Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME Q STEEL <br /> DESCRIPTION OF WORK 80 of PEIR Mei-Al RAtkdsl <br /> BUILDING SIZE SQ FOOTAGE I OGKL> HEIGHT <br /> BUILDING 0 600 VALUATION OF TOTAL CONSTRUCTION <br /> (= <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD,ZONE AREA =YES NO <br /> HHHHHHHHHHH, .HHHHH! <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License#- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED: Y/ N FEE CURREN, L Y�/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN Ly N L_J <br /> Address License-#'F <br /> OTHER COMPANY, cDab&ALKi rqx zmc <br /> SIGNATURE REGISTERED N. FEE CURREN LVLN <br /> Address License# <br /> 'T�M_ )0eAA)QCA bir.LASPAkisid.P I _:egl 13@7309 <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets'of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimumten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Felice Installed, <br /> Facilities&A 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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarizedletter from owner authorizing'same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerools if shingles Sewers Service Upgrades A/C , Fences(Plot(Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..neads'ROW <br />