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Building Department <br /> lPhone Contact for <br /> Owners Name upc�yv �Qc Ow er Phone Number <br /> ermitting <br /> Ow er <br /> me Ow er Phone Number <br /> Fee Simple Titleholder Na <br /> Fee Simple Titleholder-Address <br /> JOB ADDRESS a)SO 0 'Z,2V64A'(1(L'fft( 33 LOT# <br /> SUBDIVISION PARCEL <br /> (OBTAINLD FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADb/ALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION '7/ BLOCK FRAME STEEL <br /> F_ <br /> BUILDING SIZE ff!�M � 11 A . a . 1 1. <br /> =BUILDING $ VALUATION OF TOTAL CON TRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =GAS ROOFING SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS 5 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY IV\C' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE FE5_ . I S4-ro AQ Eler C <br /> Address 1,3400 'S+ JAIDS '5.-Foeid License# [LE Q 03-1 IS- <br /> / <br /> MECHANICAL COMPANY <br /> SIGNATURE E REGISTERED FEE CURREN �/N <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; -O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Con tructio n Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large pr jects <br /> COMMERCIAL Atfach(2)complete sets of Building Plans plus a Life Safety Page;(1)set f Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Con truction Plans,Stormwater Plans w/.Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Ali ommercial requirements 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$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with not rized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footag <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br /> � <br />