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Building Department <br /> Date Received% .� (� ' .l Phone Contact for Permitting 19 f v� -- b U l q <br /> Owner's Name oh2�-4 d- Owner Phone Number <br /> Owner's Address -I'1 -t S UC�(Y1Cd(� l`!Ef7 zI% Owner Phone Number. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> :Fee Simple Titleholder Address JOB ADDRESS <br /> [53 LOT <br /> SUBDIVISION I �� Z ``r S PARCEL ID# - a -(D010 - L 7 6d -CUaa U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' NEW CONSTR ADD/ALT �]/� SIGN Q MOVE Q DEMOLISH <br /> El INSTALL e REPAIR <br /> PROPOSED USE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK <br /> l4ra�F•�" � . Pt �s <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION' <br /> 5(0gI , by <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C, <br /> 0 PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA =YES ONO: <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED Y/ N j FEE CURRENT 'YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <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 W COMPANY YIN <br /> SIGNATURE `-V" REGISTERED / N FEE RENT <br /> Address l0� 3 J S �) (h%I�g ( �J 3 S y License# <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 Permit for subdivisions/large 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) <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 public roadways..needs ROW <br />