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Building Department <br /> Date Received Phone Contact for Permitting l(6 y <br /> Owner's Name ' J L16m bardo Owner Phone Number A13 -C)6a 8 <br /> Owner's Address -735`4 14PPItgako OC• *A"11!,R Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address ( 2 'l <br /> JOB ADDRESS 'l IC QQr (JCS (�1� �ls 1 ( v3� v LOT# �a <br /> SUBDIVISION 16 V;daqa5fatu PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R <br /> ADD/ALT 0 SIGN MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> kA <br /> PROPOSED USE 0 SFR 0 COMM ��"OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK c.r o"� jrcwi&r' j5, C��FQ f"�5h� �e Fl�` I ola�1•I S�(I tQ,+iG U�(, . F('�l oloa <br /> c <br /> BUILDING SIZE SQ FOOTAGE L HEIGHT I� :�? lop <br /> BUILDING $ R�d h aV VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> 0 PLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS" FLOOD ZONE AREA DYES ONO <br /> _BUILDER__ ___ COMPANY <br /> SIGNATURE I j REGISTERED Y/ N FEE CURRENT Y/N j <br /> I <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE i 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 �Q ��" COMPANY n T(ic <br /> SIGNATURE v _ REGISTERED Y/ N FEE 6ORRENT. CU N <br /> Address �� I3 S2'sy �. (h;1($ License# L� �.1a=55"5 <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 tent(1 b)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 tens(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Ferice 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 /> Directlons: . <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) ;�. _:• r, ,:,,:••,., <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from'oviiner:'authorizing same.-*.f ' <br /> 'OVER THE COUNTER PERMITTING (Front of Applicatiori Only) <br /> Reroofs Sewers 1 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br /> i . <br />