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Building Department ; <br /> rte Received Phone Contact for Permitting <br /> may, /' J <br /> vvner's Name 1 %' .(d ; '. %�JI� 1 Owner Phone Mumber ti?t -j' 1 1�3 <br /> Nner's Address. f L /J� Owner Phone Number <br /> 3e Simple Titleholder Name A1//{'C Owner Phone Number <br /> ae Simple.Titleholder Address {./ ` <br /> )BADDRESS t% .��1':tL f f�' It � ��•�t�r Jt lf�� 7G�7� LOT# <br /> r <br /> UBDIVISION �illll� ,t1fGt`S�'U PARCEL ID# G%1-/ Gj��G., <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> CORK PROPOSED NEW CONSTR ADD/ALT = SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> ROPOSED USE [ SFR COMM = OTHER <br /> YPE OF CONSTRUCTION BLOCK : FRAME STEEL <br /> a 1 <br /> ESCRIPTION OF WORK -'u�''G�. � )6` tv t =l 2- ? I 7'� G ' (` <br /> WILDING SIZE r'L/ h - SQ FOOTAGE HEIGHT <br /> =BUILDING $ 1 Oq 1,„ G VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY OTHER <br /> INISHED FLOOR:ELEVATIONS M FLOOD ZONE AREA YES NO <br /> WILDER COMPANY l <br /> iGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Ile Address FCt• GG•� )t G�G L �t ,' 1 77 } <br /> License# <br /> :LECTRiC1AN COMPANY C1t-C'tf Elec�l�i <br /> iIGNATURE REGISTERED Y/ N FEE CURREN Y/N~ <br /> Address ?/ License# jr-1 U,'�. 71 I <br /> - j <br /> 'LUMBER I COMPANY "J //M C.�Yl <br /> UGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address " 'License# /f 7�722y <br /> VIECHANICAL COMPANY 11J?lrn"2 L ILf rl�'1111 y � 1� <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/N'- <br /> Address ��``�•!• •G/). 7't t/•Gt c t� � <br /> License# K <br /> ETHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ) - '>a' - , t License# it t 'f <br /> 000000a909110000000000000000a0000g0a00000g0090000000a0009900' 00a00900 <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 w/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 /> 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 /> n ■ n ■ tl n ■ n_.■ ■ ■ A n rt n R n n f 4 R n.n n n ■ ■ n_.n n n ■ ■ n n n n R _■ ■ ■ b_n O n n ■ ■ n n rt n_.■ n ■ n. o e n II n n ■ . <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$7500) <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways Not over Counter if on public roadways..needs ROW <br />