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` <br /> F�����2 <br /> \�|ty OtZ8p \ Aop\\C@fOO 1 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1( <br /> owner Phone Number <br /> Owner's Address M061 <br /> Owner Phone Number <br /> -Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> ' <br /> SUBDIVISION Pxmo'LDD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ` <br /> WORK PROPOSED wmvonmsTn 8mOV\[[ �--� SIGN [--1 F—� DEMOLISH <br /> E5 INSTALL E REPAIR <br /> PROPOSED USE [--1 oFR [--| COMM F--1 OTHER <br /> TYPE OF CONSTRUCTION r��ll BLOCK �—1 FRAME �--� STEEL <br /> HEIGHT <br /> BUILDING SIZE SQ FOOTAGE %� <br /> =BU|LD|0G ' VALUATION OF TOTAL CONSTRUCTION <br /> =sLECTR\{AL AMP SERVICE �—� PROGRESS ENERGY �—1 YV.R.E.C. <br /> =PLU a|NG00 <br /> =MEoM8NkzAL MECHANICAL INSTALLATION <br /> =GAS F—�y ROOFING |�| � SPECIALTY \ | OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8 No <br /> BUILDER COMPANY <br /> SIGNATURE f��) .­] REGISTERED Y/ N I - FEE-CORREN I Y7 N <br /> Address Livanae# <br /> PLUMBER C06ANY <br /> SIGNATURE Remmrexso [,y),%_1 'rsecunnb, I `Y`,N_] 1%J <br /> Address IC EC 69132- 1 <br /> u � <br /> MECHANICAL E COMPANY <br /> SIGNATURE REGISTERED , L�(LN_ FEEooRnsx -I:�2��_� . <br /> Address ) License# <br /> ^� <br /> OTHER COMPANY <br /> SIGNATURE xso/arenso L��_�_| FEEouRnEN L_YINL_FJ <br /> ' <br /> Addess Licenoe# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; 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&I 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 /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial require m* ents must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> `PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over*2soo,a Notice o,Commencement isrequired. (AIC upgrades over*75O0) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ofcontract required) <br /> Romofsifshingles 8avers Service Upgrades AxC Fencoa(P!oK8umey/FootaUo) <br /> Driveways-Not over Counter ifon public modvayo..needsROW <br /> . <br />